Treating tibial fracture with supra-cutaneous locking plate osteosynthesis: personalized therapy for special patient;A case series study

作者：Chao Zhang, Junyu Zhang, Hongjian Li · 发表于：Research Square · 年份：2022 · DOI：10.21203/rs.3.rs-1991094/v1 · 研究领域：Bone fractures and treatments、Total Knee Arthroplasty Outcomes、Knee injuries and reconstruction techniques

Abstract Background The choice of surgical options for open tibial fractures and closed tibial fractures with soft tissue problems has been controversial.Supra-cutaneous locking plate fixation may be able to provide an personalized treatment plan. Methods After retrospective analysis of the clinical database, we collected data on 19 patients identified as having chronic osteomyelitis after routine surgery for tibial fractures or open tibial fractures.All patients who underwent external fixation with a supra-cutaneous locking plate were followed up for 12.89±3.81 months postoperatively.Further statistical analysis was not performed because the number of cases was too small and the injuries and fracture types were different. Results The postoperative Fugl-Meyer lower limb motor function score was 32.47±3.34 in 19 operated patients, which was evaluated according to the Mazur ankle scoring system: 11 cases were excellent, 5 cases were good, 2 cases were acceptable, and 1 case was poor, with an excellent rate of 84%. The duration of time that passed between the implantation of the supra-cutaneous locking plate and its subsequent removal ranged from 13.00±1.05 months. Conclusions In certain tibial patients with specific indications, such as open tibial fractures without significant bone or soft tissue defect, closed tibial fractures with severe blisters or compromised soft tissue condition, and surgical site infections following tibial internal fixation with no significant bone or ...