ArticleInternational orthopaedics2014
Distal tibia fractures and medial plating: factors influencing re-operation.
Article in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Prevalence and influencing factors of nonunion in patients with tibial fracture: systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Comparative outcomes of medial and lateral plating for distal third tibial fractures: A systematic review and meta-analysis.Journal of clinical orthopaedics and trauma · 2026Review
- AO distractor and manual traction reduction techniques repair in distal tibial fractures: a comparative study.BMC musculoskeletal disorders · 2022Article
- Comparison of intramedullary nail, plate, and external fixation in the treatment of distal tibia nonunions.International orthopaedics · 2017Article
- Reamed intramedullary exchange nailing in the operative treatment of aseptic tibial shaft nonunion.International orthopaedics · 2017Article
- What Factors are Associated With a Surgical Site Infection After Operative Treatment of an Elbow Fracture?Clinical orthopaedics and related research · 2016Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe compared types of complications leading to re-operations in open and closed distal tibia fractures treated by locking or nonlocking medial plates.
methodsNinety-three patients from 2002 to 2012 who underwent open reduction and internal fixation (ORIF) and medial plating for distal extra-articular or partial articular tibia fractures were identified. Charts were retrospectively reviewed to determine the incidence of re-operation based on the type of complication that developed. Fisher's exact and chi-square tests were performed to analyze the incidence of complications based on injury and type of plate used.
resultsThirty-three (35.5 %) patients required re-operations: 28.6 % (n = 16) with closed injuries had complications leading to re-operations compared with 45.9 % (n = 17) of patients with open injuries (p = 0.12). Patients with closed injuries were more likely to require re-operation due to hardware pain/prominence (p = 0.03), whereas patients with open injuries were more likely to require re-operation due to nonunion (p = 0.04). There were no significant differences in infection (p = 0.66) or malunion (p = 0.99) between groups. Locking plates showed higher costs but were not associated with decreased risk of re-operation.
conclusionsThere was a high re-operation rate associated with distal tibia medial plating, with significant differences in the reason for re-operation between open versus closed groups. Complication rates were not influenced by the use of locking plates. Results of this study suggest that methods be considered to reduce re-operation based on type of fracture, such as early bone grafting or the use of alternate implants for open fractures.
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