@article { author = {Okhovatpour, Mohammad Ali and Karimi, Amin and Sadighi, Mehrdad and Zandi, Reza and Ebrahimpour, Adel and Minator Sajjadi, Mohammadreza and Masjed-Mousavi, Seyed-Hadi}, title = {Modified Posteromedial Approach for Distal Tibia Fracture Fixation}, journal = {Trauma Monthly}, volume = {27}, number = {6}, pages = {661-667}, year = {2022}, publisher = {Official Publication of the National Center for Trauma Research}, issn = {2251-7464}, eissn = {2251-7472}, doi = {10.30491/tm.2023.307157.1377}, abstract = {Background: This study aimed to compare a new posteromedial approach with a conventional anteromedial approach to treat extra-articular distal tibia fractures.Method: Thirty-two patients underwent distal tibia fracture surgery. The patients were divided into two groups (anteromedial: n=17 and posteromedial: n=15) and followed for one year. Approaches were compared regarding their union time, American Orthopedics Foot and Ankle Society (AOFAS) score, and complications.Results: AOFAS score was 87.3 ± 3.1 and 88.5 ± 2.8 in anteromedial and posteromedial groups, respectively, and there was no statistically significant difference (P-value = 0.282). The union time was 6.1 ± 3.8 months and 6.4 ± 3.1 months in the groups, which was not statistically significant (P-value = 0.807). The prevalence of non-union and delayed union was not significantly different between the two groups (p-value = 0.99).Conclusion: The modified posteromedial approach is a safe and feasible alternative surgical method for distal tibia extra-articular fractures.}, keywords = {Distal tibia fracture,Posteromedial approach,Anteromedial approach,Complications}, url = {https://www.traumamon.com/article_165201.html}, eprint = {https://www.traumamon.com/article_165201_ad9d43bc94c89d120d19e37f71290869.pdf} }