Two-stage method of treating intra-articular fractures of the distal tibia bones

Abstract

Introduction. The use of two-stage tactic with improving the techniques of little-invasive osteosynthesis is the recent trend in treatment of intra-articular fractures of the distal leg bone parts (DLBP). Purpose. To optimize the two-stage tactic of surgical treatment of patients with intra-articular fractures of distal leg bone parts. Materials and Methods. The analysis of 84 cases of surgical treatment in patients with DLBP formed the basis of the study. AO/ASIF Classification used to systematize bone trauma, soft tissue injuries classified according to H.G Tscherne, L. Gotzen (1984) and R.B. Gustilo-J.T. Andersen (1976). A two-stage tactic of treatment used in all the injured persons. Clinical, x-ray, laboratory and statistical methods used in the study. Results. Treatment results in the long-term period (from six months to three years) studied in 65 cases. Excellent results obtained in 40 patients (61.5 %), good ones – in 16 (24.6 %), satisfactory – in 6 (7.1 %), unsatisfactory – in 3 (4.6 %) patients. Conclusion. The two-stage tactic of treating DLBP intra-articular fractures including the developed algorithms of choosing the techniques of primary stabilization and definitive osteosynthesis allowed obtaining excellent and good results in 86.1% of cases.