Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Hohenberger, GM; Schwarz, AM; Grechenig, C; Schwarz, U; Feigl, GC; Bakota, B.
Dorsal minimally invasive plate osteosynthesis of the distal tibia with regard to adjacent anatomical characteristics.
Injury. 2021; 52 Suppl 5:S11-S16
Doi: 10.1016/j.injury.2020.02.047
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Hohenberger Gloria
- Co-Autor*innen der Med Uni Graz
- Bakota Bore
- Feigl Georg
- Schwarz Angelika
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- Abstract:
- INTRODUCTION: The aim of this study was to perform MIPO of the distal tibia from a dorsomedial and dorsolateral approach and to evaluate their feasibility and risk of injury to adjacent anatomical structures. MATERIAL & METHODS: A total of 18 extremities from 9 adult human cadavers was included in the study. In each cadaver, one lower leg underwent application of a 12-hole 3.5 LCP metaphyseal plate from the medial and the further one from the lateral approach. For the medial approach, a 4 cm skin incision was performed at the tibial border of the Achilles tendon, starting from 1 cm proximal to its insertion point at the calcaneal tuberosity. Entrance was gained between the medial border of the flexor hallucis longus tendon and the medial neurovascular bundle. Regarding the lateral approach, the skin was incised over a length of about 4 cm at the lateral border of the Achilles tendon, approximately 1 cm proximal to its insertion point. Entrance was gained between the Achilles tendon and the peroneus brevis muscle. The plates were inserted in direct bone contact in a proximal direction and the proximal and distal ends were fixed. During dissection, the proximal and distal holes beneath the crossing points of the neurovascular bundle and the plate were noted. The distal and proximal intersection points of the neurovascular bundle and the plate were measured with reference to the distal border of the plate. RESULTS: Concerning the medial approach, the neurovascular bundle was on median located between the 6th and 11th plate holes starting from distal. The bundle intersected the plate distally at a mean height of 65.8 mm and proximally at 156.8 mm on average. For the lateral approach, the neurovascular bundle was situated between the 6th and the 12th plate hole from distal. It crossed the plate distally at a mean of 61.0 mm and proximal at a mean height of 153.9 mm. In none of the cases, lacerations of the neurovascular bundle were observed. CONCLUSION: In conclusion, MIPO from the dorsomedial and dorsolateral approach are both safe procedures as indicated by our study.
- Find related publications in this database (using NLM MeSH Indexing)
- Achilles Tendon - surgery
- Adult - administration & dosage
- Bone Plates - administration & dosage
- Humans - administration & dosage
- Minimally Invasive Surgical Procedures - administration & dosage
- Tibia - surgery
- Tibial Fractures - surgery
- Find related publications in this database (Keywords)
- Tibial fracture
- Distal tibial fracture
- Minimally invasive plate osteosynthesis