![]() ![]() The goal of orthopaedic surgeons is to restore the tibial anatomy, to fix the epi-metaphyseal block with the diaphysis and to avoid complications. Management of distal tibia fractures, with or without articular involvement, is a therapeutic challenge. For other cases, we recommend ORIF with early mobilisation. We believe that external fixation must be reserved for trauma with severe skin injury, as a temporary solution in a two-staged protocol. Predictive factors of poor results were fracture severity, complications, malunion and the use of external fixation. ![]() The average functional score was 76 points (range, 30–100 points), and complications occurred in 30 patients. Outcome parameters included occurrence of complications, radiographic analysis, evaluation of the American Orthopaedic Foot and Ankle Society (AOFAS) ankle score and measures of the ankle range of motion. Internal fixation, external fixation, limited internal fixation (K-wires or screws), intramedullary nailing and conservative treatment were used. One hundred patients (101 fractures) were reviewed with an average follow-up of 19 months (range, 12–46). Between 20, 104 patients were admitted for 105 distal tibia fractures. In this retrospective and multicentre study we attempted to detail complications and outcomes of this type of injury in order to determine predictive factors of poor results. You may need to keep your leg dry.įollow all of your doctor’s instructions carefully.Distal tibia fractures are complex injuries with a high complication rate. You may need to wear a brace for several weeks. For a while after your surgery, you may be told not to move your leg. You’ll get instructions about how to move your leg and when you can put weight on it. You might have some fluid draining from your incision. You can also use ice packs to help lessen pain and swelling. Your doctor will tell you what pain medicine you can take to help reduce the pain. You will have some pain after the surgery. Before leaving the hospital, you will likely have X-rays taken of your leg. Or you may stay overnight in the hospital. Talk with your surgeon about what you can expect after your surgery. He or she will close the layers of muscle and skin around your thigh with sutures or staples.The surgeon will make other repairs to the area as needed.For certain tibia fractures, a special metal rod may be put through the middle of the bone. The surgeon may use screws, metal plates, wires, or pins. He or she will secure the pieces of the broken bones to each other (fixation).The surgeon will put the pieces of your tibia and fibula back into place (reduction).After cleaning the skin, the surgeon will make a cut (incision) through the skin and muscle of your leg.A healthcare provider watches your vital signs, like your heart rate and blood pressure, during the surgery.Or you may have regional anesthesia to numb the area and medicine to help you relax and sleep through the surgery. You will likely have general anesthesia.This will prevent pain and make you sleep through the surgery.In general, you can expect the following: The preparation and surgery may take a couple of hours. An orthopedic surgeon with a team of specialized nurses will do the surgery. These details will depend on the location and severity of your injury. Your surgeon will explain the details of your surgery. You may be asked to sign a consent form that gives your permission to do the procedure. Follow all other instructions from your healthcare provider.Follow any directions you’re given for not eating or drinking before the surgery.Plan some changes at home to help you recover.Ask a family member or friend to take you home from the hospital.Talk with your healthcare provider if you need help to stop smoking. If you smoke, you may need to stop before your surgery. You may need to stop taking some medicines before the procedure, such as blood thinners and aspirin. Talk with your healthcare provider how to get ready for your surgery. Traction is a type of sling that holds your leg. You may need to have your leg placed in traction while you wait for surgery. In some cases, tibia/fibula fracture ORIF is planned. Before this procedure, a healthcare provider will ask about your health history and give you a physical exam. ORIF is sometimes done as emergency surgery after an accident or injury.
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