ArticleThe archives of bone and joint surgery2021
Factors that Influence Soft-tissue Injury in Fractures of the Distal Tibia.
Article in The archives of bone and joint surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 6 citations in OpenAlex.
- Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases.Journal of orthopaedic case reports · 2025Article
- Predictors for wound healing complications and prolonged hospital stay in patients with isolated calcaneal fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSoft tissue injury associated with fractures of the distal tibia is a predictive factor for a poor prognosis. The purpose of this study was to investigate factors associated with the need for a flap coverage after distal tibial fracture, and whether there was a difference in functional outcomes between patients with flap coverage or no flap coverage for a distal tibial fracture.
methodsAll fractures of the distal tibia treated in our department between 2010 and 2017 were reviewed. The functional result was assessed using the SF-36 Quality of Life Questionnaire, the Visual Analog Scale (VAS) when walking and the AOFAS scale (American Orthopedic Foot and Ankle Society).
results132 distal tibia fractures were reviewed, of which 51 required soft tissue flap reconstruction, which was associated with open fractures (
conclusionWe found that the need for a soft tissue flap was associated with the following parameters: open fracture, high energy of trauma, presence of skin necrosis, the use of external fixation and the existence of vascular injury. In relation to functional results, differences were not found between the group that needed coverage with a flap and the one that did not.
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