Wen-Wei Dong,Zeng-Yuan Shi,Zheng-Xin Liu,Hai-Jiao Mao.[J].Chin J Traumatol,2016,19(6):348-352. [doi]
Indirect reduction technique using a distraction support in minimally invasivepercutaneous plate osteosynthesis of tibial shaft fractures
  
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KeyWord: Tibial shaft fracturesIndirect reductionDistraction supportPercutaneous plating
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Author NameAffiliation
Wen-Wei Dong Department of Trauma Orthopaedics, Affiliated Hospital Medical School of Ningbo University Zhejiang, Ningbo 315020, China 
Zeng-Yuan Shi Department of Trauma Orthopaedics, Affiliated Hospital Medical School of Ningbo University Zhejiang, Ningbo 315020, China 
Zheng-Xin Liu Department of Trauma Orthopaedics, Affiliated Hospital Medical School of Ningbo University Zhejiang, Ningbo 315020, China 
Hai-Jiao Mao Department of Trauma Orthopaedics, Affiliated Hospital Medical School of Ningbo University Zhejiang, Ningbo 315020, China 
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Abstract:
      Purpose: To describe an indirect reduction technique during minimally invasive percutaneous plate osteosynthesis (MIPPO) of tibial shaft fractures with the use of a distraction support. Methods: Between March 2011 and October 2014, 52 patients with a mean age of 48 years (16-72 years) sustaining tibial shaft fractures were included. All the patients underwent MIPPO for the fractures using a distraction support prior to insertion of the plate. Fracture angular deformity was assessed by goniometer measurement on preoperative and postoperative images. Results: Preoperative radiographs revealed a mean of 7.6 (1.2-28 ) angulation in coronal plane and a mean of 6.8 (0.5-19 ) angulation in sagittal plane. Postoperative anteroposterior and lateral radiographs showed a mean of 0.8 (0-4.0 ) and 0.6 (0-3.6 ) of varus/valgus and apex anterior/posterior angulation, respectively. No intraoperative or postoperative complications were noted. Conclusions: This study suggests that the distraction support during MIPPO of tibial shaft fractures is an effective and safe method with no associated complications.
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