Khorbi Adel, Haddad Naoufel, Chebil Mounir, Kanoun Med Lassaad, Ben Dali Naoufel, Hachem Abdelhamid
Service de chirugie orthopédique er traumatologique de l'hôital Aziza Othmana.
Tunis Med. 2006 Jan;84(1):21-5.
Treatment of extra-articular upper metaphyseal tibial fractures can be difficult. Orthopedic treatment is frequently complicated by second displacement These fractures are inappropriate for locked intra-medullary nailing because of the shorteness of the proximal extremity. Damages of soft tissues. frequently associated with these factures, expose internal osteosynthesis to many risks. For these reasons, we opted for external fixation. Our study was a retrospective analysis of 46 extra-articular metaphyseal tibial fractures treated by external fixation with Hoffman material. The average follow-up was 24 months. Consolidation was obtained within 4 months in average. Septic complications. inherent to the method were uncommon or minor. Functional results were satisfactory in 84% of cases. So, external fixation with Hoffman material. with particular recommandations, is a promising method for the treatment of extra-articular of proximal metaphyseal tibial fractures.
治疗胫骨近端干骺端关节外骨折可能具有挑战性。骨科治疗常因二次移位而复杂化。由于近端较短，这些骨折不适用于带锁髓内钉固定。软组织损伤常与这些骨折相关，使内固定面临诸多风险。基于这些原因，我们选择了外固定。我们的研究是对46例采用霍夫曼材料外固定治疗的胫骨近端干骺端关节外骨折进行的回顾性分析。平均随访时间为24个月。平均4个月内实现骨愈合。该方法固有的感染性并发症并不常见或较轻微。84%的病例功能结果令人满意。因此，采用霍夫曼材料进行外固定，并给出特定建议，是治疗胫骨近端干骺端关节外骨折的一种有前景的方法。
