Abstract：
BACKGROUND: The association of ipsilateral tibia fractures has a low incidence, being up to 3.2% of total tibia fractures. Currently there is no gold standard regarding the ideal surgical treatment. The objective of this study is to analyze the surgical treatment and the radiographic and functional results, as well as the associated complication rate of ipsilateral bifocal tibia fractures.
METHODS: Retrospective observational study in our hospital from 2010 to 2022 of 24 patients who underwent bifocal fracture of the ipsilateral tibia. Demographic and surgical data and complications during follow-up were included.
RESULTS: The 24 patients were classified into group 1 when they presented a fracture of the plateau and distal tibia (25%), group 2 with a fracture of the plateau and diaphysis (33%) and group 3 with a fracture of the diaphysis and distal tibia (42%). 3 patients underwent surgery with 1 implant and 21 patients with 2 implants. The average follow-up time in outpatient clinics was 2 and a half years. At one year, 22 patients (92%) had full weight bearing and 2 patients had partial weight bearing (8%) due to the sequelae of the fractures. The average time for consolidation of the diaphysis was 7.75±2 months, with no significant differences observed between group 2 and group 3 (p=0.06). The average time for consolidation of the metaphysis was 3.50±1.5 months, with no significant differences observed between group 1 and group 2 (p=0.065). 7 patients (30%) had complications during follow-up.
CONCLUSIONS: Bifocal tibia fractures can be treated using a combination of intramedullary nailing and plate osteosynthesis with good long-term results, obtaining an optimal union rate and low complications. In addition, it facilitates the reduction of the fracture, thus facilitating the patient\'s recovery and obtaining good long-term functional results.
METHODS: Retrospective observational study in our hospital from 2010 to 2022 of 24 patients who underwent bifocal fracture of the ipsilateral tibia. Demographic and surgical data and complications during follow-up were included.
RESULTS: The 24 patients were classified into group 1 when they presented a fracture of the plateau and distal tibia (25%), group 2 with a fracture of the plateau and diaphysis (33%) and group 3 with a fracture of the diaphysis and distal tibia (42%). 3 patients underwent surgery with 1 implant and 21 patients with 2 implants. The average follow-up time in outpatient clinics was 2 and a half years. At one year, 22 patients (92%) had full weight bearing and 2 patients had partial weight bearing (8%) due to the sequelae of the fractures. The average time for consolidation of the diaphysis was 7.75±2 months, with no significant differences observed between group 2 and group 3 (p=0.06). The average time for consolidation of the metaphysis was 3.50±1.5 months, with no significant differences observed between group 1 and group 2 (p=0.065). 7 patients (30%) had complications during follow-up.
CONCLUSIONS: Bifocal tibia fractures can be treated using a combination of intramedullary nailing and plate osteosynthesis with good long-term results, obtaining an optimal union rate and low complications. In addition, it facilitates the reduction of the fracture, thus facilitating the patient\'s recovery and obtaining good long-term functional results.
摘要：
背景：同侧胫骨骨折的关联发生率较低，占胫骨骨折总数的3.2%。目前没有关于理想的手术治疗的黄金标准。这项研究的目的是分析手术治疗和影像学和功能结果，以及同侧双焦点胫骨骨折的相关并发症发生率。
方法：回顾性观察性研究：2010-2022年我院收治的24例同侧胫骨双焦点骨折患者。包括人口统计学和手术数据以及随访期间的并发症。
结果：当出现平台和胫骨远端骨折时，将24例患者分为第1组（25％），第2组平台和骨干骨折（33％），第3组骨干和胫骨远端骨折（42％）。3例患者接受了1个植入物的手术，21例患者接受了2个植入物的手术。门诊平均随访时间为2年半。一年，由于骨折后遗症，22例患者（92％）完全负重，2例患者部分负重（8％）。骨干的平均巩固时间为7.75+/-2个月，第2组和第3组之间没有显着差异（p=0.06）。平均巩固干is端时间为3.50+/-1.5个月，在第1组和第2组之间没有观察到显著差异(p=0.065)。7例患者（30％）在随访期间有并发症。结论：双焦点胫骨骨折可以使用髓内钉和钢板骨固定的组合进行治疗，具有良好的长期效果。获得最佳愈合率和低并发症。此外,它有助于骨折的复位，从而促进患者的康复并获得良好的长期功能效果。
方法：回顾性观察性研究：2010-2022年我院收治的24例同侧胫骨双焦点骨折患者。包括人口统计学和手术数据以及随访期间的并发症。
结果：当出现平台和胫骨远端骨折时，将24例患者分为第1组（25％），第2组平台和骨干骨折（33％），第3组骨干和胫骨远端骨折（42％）。3例患者接受了1个植入物的手术，21例患者接受了2个植入物的手术。门诊平均随访时间为2年半。一年，由于骨折后遗症，22例患者（92％）完全负重，2例患者部分负重（8％）。骨干的平均巩固时间为7.75+/-2个月，第2组和第3组之间没有显着差异（p=0.06）。平均巩固干is端时间为3.50+/-1.5个月，在第1组和第2组之间没有观察到显著差异(p=0.065)。7例患者（30％）在随访期间有并发症。结论：双焦点胫骨骨折可以使用髓内钉和钢板骨固定的组合进行治疗，具有良好的长期效果。获得最佳愈合率和低并发症。此外,它有助于骨折的复位，从而促进患者的康复并获得良好的长期功能效果。
