Modified Posteromedial Approach for Distal Tibia Fracture Fixation

Okhovatpour, Mohammad Ali; Karimi, Amin; Sadighi, Mehrdad; Zandi, Reza; Ebrahimpour, Adel; Minator Sajjadi, Mohammadreza; Masjed-Mousavi, Seyed-Hadi

doi:10.30491/tm.2023.307157.1377

Modified Posteromedial Approach for Distal Tibia Fracture Fixation

Document Type : Original Article

Authors

Mohammad Ali Okhovatpour ¹

Amin Karimi ²

Mehrdad Sadighi ³

Reza Zandi ¹

Adel Ebrahimpour ⁴

Mohammadreza Minator Sajjadi ¹

Seyed-Hadi Masjed-Mousavi ⁵

¹ Associate Professor, Department of orthopedics, Taleghani Hospital Research Development committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

² Assistant Professor, Department of orthopedics, Taleghani Hospital Research Development committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

³ Assistant Professor, Department of Orthopedics, Shohada Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

⁴ Professor, Orthopedic Surgery Department, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

⁵ Shahid Beheshti University of medical sciences, Tehran, Iran.

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