Read more
Fractures of the proximal quarter of the tibia present a particular lesion entity likely to raise many therapeutic difficulties because of the vascular and cutaneous complications frequently found and the comminuted nature of the fracture making internal osteosynthesis difficult and a source of complications. All these considerations have led several surgeons to treat these fractures by external fixation. We present a retrospective study of 32 patients with fractures of the proximal quarter of the tibia operated on by external fixation with a minimum follow-up of 12 months. Three types of external fixator were used: the hybrid external fixator (11 cases), the Orthofix external fixator (13 cases) and the Hoffmann external fixator (8 cases).The Lysholm score was used for functional evaluation and we obtained a mean value of 92.63. Exo-fixation is the least invasive and most convenient technique, especially if there are associated integumentary lesions that do not allow internal osteosynthesis.
About the author
Dr. Mohamed BEN JEMAA, assistente chirurgo ospedaliero-universitario nel reparto di chirurgia ortopedica e traumatologica; Ospedale universitario Habib Bourguiba, Sfax, Tunisia.Chirurgia della colonna vertebrale. infezioni osteoarticolari. Traumatologia. Microchirurgia.
