Distant results of functional treatment of patients with fractures of the proximal end of the tibia
Keywords:
Fractures of the proximal end of the tibia, functional treatment, physiotherapyAbstract
Intraarticular fractures of the proximal end of the tibia still pose a serious problem with treatment and improvement. A choice of treatment is dependent on the type of fracture, degree of stability as well as accompanying damage to soft tissue. The treatment consists in anatomical setting and regeneration of the joint surface and early rehabilitation.
Aim of this study: The aim of this study is functional assessment of the lower limb after intraarticular fracture of the proximal end of the tibia of patients undergoing treatment with the use of the functional method.
Materials and methods: The subject of the study were 16 patients (9 women, 7 men) aged 28–69 (x=46) undergoing treatment with the use of the functional treatment in a surgical ward with an orthopedic sub-ward at a regional hospital in Lancut in the years 2004–2008. The patients had fractures to the proximal base of the tibia. The time since the fracture was 13–52 weeks (x=32). The LEFS scale was used to assess the functional state.
Results: 10 patients (62,6%) assessed the functional state of their limb as good whereas 6 patients (37,4%) assessed the state as satisfactory.
Conclusions: Treatment with the use of the functional method brings good or satisfactory results and is advisable for patients whose treatment may fail to setting and anatomical osteosynthesis.
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References
Tylman D.: Czynnościowe leczenie złamań. PZWL Warszawa 1998.
Nathan S.S., Lim H.H., See H.F.: The operative treatment of closed tibial fractures. Singapore Med J. 2000; 41(3): 107–10.
Nork S.E., Barei D.P., Schildhauer T.A., Agel J., Holt S.K., Schrick J.L., Sangeorzan B.J.: Intramedullary nailing of proximal quarter tibial fractures. J Orthop Trauma. 2006; 20(8): 523–8.
Tylman D., Siwek W.: Long-term results of funcional treatment in intraarticular knee fractures and multifragment fractures of the shaft of femurs. Clin Orthop Relat Res. 1991, 267: 218–23.
Pyu Y.H., Cowan S.M., Wrigley T.V., Bennel K.L.: The Lower Extermity Functional Scale could be an alternative to the Western Ontario and Mc Master Universities Osteoarthritis Index physical function scale. J. Clin. Epidemiol. 2009, 62(10): 1103–11.
Binkley J., Stratford P., Lott S.A., Riddle D.: The Lower Extremity Functional Scale: Scale, Development, Measurement Properties and Clinical Application. Phys Ther. 1999, 4(79): 371–383.
Trojan G.., Panek A., Jaźwa P.: Wczesne wyniki leczenia czynnościowego pacjentów z powodu złamań w obrębie stawu kolanowego – badanie wstępne. Fizjoterapia 2008; 1: 271–76.
Tylman D., Siwek W., Kwiatkowski K., Ziółek M.: Odległe wyniki czynnościowego leczenia złamań śródstawowych bliższego końca kości piszczelowej. Post. Reh. 1995; t. IX; (3): 23–29.
Deszczyński J., Rąpała K., Biernat J.: Ocena wyników leczenia nasad, przynasad i trzonów kości długich metodą czynnościową w latach 1977–1987. Pamiętnik 54 Zjazdu Towarzystwa Chirurgów Polskich, Kraków 1989; t. VI: 148–155.
Kubacki J., Makuch M., Szczyrek M.: Sposoby leczenia złamań dostawowych kolana i dalszej nasady piszczeli w materiale własnym. Nowiny Lek. 1999, 68; 161–168.
Williams J., Gibbons M., Trundle H., Murray D., Worlock P.: Complications of nailing in closed tibial fractures. J. Ortho Trauma. 1995; 9(6): 476–81.
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