Erfahrungen mit LISS PT bei proximalen Tibiafrakturen

Abstract

Therapy of proximal tibial fractures is difficult because of various reasons. On the one hand it is the critical perfusion of the soft tissues, which is caused either by trauma or by surgical intervention. On the other hand there are biomechanical (dislocation of the proximal fragment due to traction of inserting ligamentous and musculous structures) and anatomical (insufficient proximal purchase and medial buttress) features of the proximal tibia which render healing without complications and malalignment more difficult. The LISS PT is a suitable implant for dealing with proximal tibial fractures which takes critical perfusion into account (indirect reduction technique, minimally invasive implant placement, preservation of periostal perfusion). It also provides good primary stability (no need for additional implants) and has a wide range of indications. First results of our clinic show a good rare of primary healing without bone grafting, low rates of malalignment and the absence of secondary loss of retention.