Abstract

ALVAREZ LOPEZ, Alejandro  and  GARCIA LORENZO, Yenima de la Caridad. Segmental tibial fractures. AMC [online]. 2015, vol.19, n.4, pp.389-396. ISSN 1025-0255.

Background: segmental tibial shaft fractures are affections caused by high energy traumatisms and are generally associated to other lesions of soft and osseous parts that make worse the prognosis and more difficult the treatment. Objective: to deepen in the essential elements and characteristics of patients who suffer from segmental tibial shaft fractures. Methods: a bibliographic review of 400 articles published in Pubmed, Hinari and Medline was made by means of the reference management software Endnote. Fifty-one references were selected for making the review, 47 of them were from the last five years and four books were included. Development: the most frequent mechanisms of production are described, as well as the main differences between segmental and non-segmental fractures. Regarding the classification, the proposal described by the Osteosynthesis Association, especially type C was described, as well as the application of the classification by Winquist R and Hansen S. The traumas associated and the complications reported in the literature are mentioned. The types of treatment are generally surgical and can be conducted by means of intramedullar nailing, external fixators and subcutaneous plates. Conclusions: segmental tibial shaft fractures are serious lesions that need to be treated immediately to prevent or reduce the instant complications and the belated characteristics of this lesion.

Keywords : TIBIAL FRACTURES [therapy]; DIAPHYSES [injuries]; SURGICAL PROCEDURES, OPERATIVE; BONE NAILS; REVIEW LITERATURE AS TOPIC.

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