Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases

Introduction: Comminuted fractures of the distal end of the tibia and fibula usually occur due to high-velocity trauma, and the tibia, being subcutaneous in this area, is prone to wound healing risks and complications. Fixation typically involves two separate incisions, medial and lateral, which pos...

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Main Authors: Tej Pratap Gupta, Narender Singh, SK Rai, Vivek Mathew Philip, Ritesh Sharma
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-02-01
Series:Journal of Orthopaedic Case Reports
Subjects:
Online Access:https://jocr.co.in/wp/2025/02/01/internal-plate-fixation-of-comminuted-fracture-of-the-distal-end-of-the-tibia-and-fibula-using-a-single-incision-technique-a-novel-approach-and-a-series-of-nine-cases/
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author Tej Pratap Gupta
Narender Singh
SK Rai
Vivek Mathew Philip
Ritesh Sharma
author_facet Tej Pratap Gupta
Narender Singh
SK Rai
Vivek Mathew Philip
Ritesh Sharma
author_sort Tej Pratap Gupta
collection DOAJ
description Introduction: Comminuted fractures of the distal end of the tibia and fibula usually occur due to high-velocity trauma, and the tibia, being subcutaneous in this area, is prone to wound healing risks and complications. Fixation typically involves two separate incisions, medial and lateral, which pose risks of wound healing complications and devascularization of the distal tibia. This study aims to present a novel single anterolateral incision approach for the internal fixation of distal tibia and fibula fractures to minimize soft-tissue complications. Case Report: Nine patients were treated with internal plate fixation for their comminuted fractures of the distal end of the tibia and fibula using a single-incision technique. The cohort included six male and three female patients, with a mean age of 31.8 years (range 17–59). Conclusion: We present nine cases of comminuted fractures of the distal end of the tibia and fibula treated with a single-incision technique for internal plate fixation, resulting in satisfactory outcomes without any wound healing complications.
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institution Kabale University
issn 2250-0685
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language English
publishDate 2025-02-01
publisher Indian Orthopaedic Research Group
record_format Article
series Journal of Orthopaedic Case Reports
spelling doaj-art-2a6ce0d9ac9c4446a34d754cd225ed8d2025-08-20T03:31:24ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-02-0115221522010.13107/jocr.2025.v15.i02.5288Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine CasesTej Pratap GuptaNarender SinghSK RaiVivek Mathew PhilipRitesh SharmaIntroduction: Comminuted fractures of the distal end of the tibia and fibula usually occur due to high-velocity trauma, and the tibia, being subcutaneous in this area, is prone to wound healing risks and complications. Fixation typically involves two separate incisions, medial and lateral, which pose risks of wound healing complications and devascularization of the distal tibia. This study aims to present a novel single anterolateral incision approach for the internal fixation of distal tibia and fibula fractures to minimize soft-tissue complications. Case Report: Nine patients were treated with internal plate fixation for their comminuted fractures of the distal end of the tibia and fibula using a single-incision technique. The cohort included six male and three female patients, with a mean age of 31.8 years (range 17–59). Conclusion: We present nine cases of comminuted fractures of the distal end of the tibia and fibula treated with a single-incision technique for internal plate fixation, resulting in satisfactory outcomes without any wound healing complications.https://jocr.co.in/wp/2025/02/01/internal-plate-fixation-of-comminuted-fracture-of-the-distal-end-of-the-tibia-and-fibula-using-a-single-incision-technique-a-novel-approach-and-a-series-of-nine-cases/fracturedistal tibiadistal fibulaanatomyincision
spellingShingle Tej Pratap Gupta
Narender Singh
SK Rai
Vivek Mathew Philip
Ritesh Sharma
Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases
Journal of Orthopaedic Case Reports
fracture
distal tibia
distal fibula
anatomy
incision
title Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases
title_full Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases
title_fullStr Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases
title_full_unstemmed Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases
title_short Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases
title_sort internal plate fixation of comminuted fracture of the distal end of the tibia and fibula using a single incision technique a novel approach and a series of nine cases
topic fracture
distal tibia
distal fibula
anatomy
incision
url https://jocr.co.in/wp/2025/02/01/internal-plate-fixation-of-comminuted-fracture-of-the-distal-end-of-the-tibia-and-fibula-using-a-single-incision-technique-a-novel-approach-and-a-series-of-nine-cases/
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