Proposals and Criteria for the Evaluation of Effectiveness in Plate Osteosynthesis in Patients with Tibia Fractures

Abstract

Tibial fractures are among the most common of long bones; there is no consensus on what is the most appropriate surgical technique for their treatment; sheet osteosynthesis may be an option. The purpose of this work is to introduce criteria for evaluating the effectiveness of sheet osteosynthesis. Theoretical and empirical scientific research methods are used, these allow us to analyze the proposals and evaluate them for a better understanding of how to evaluate and with what criteria the comparison between the proposals for comparison between standard osteosynthesis surgical techniques and modified MIPO. The 50 professionals who provide their cooperation respond that complications are a very viable option to evaluate the techniques. Regarding consolidation time, it also has high priority as a variable for comparison between techniques. 70% of the professionals interviewed consider that the 7% decrease in total complications between one technique and another is a value to be taken into account when comparing them. Regarding the decrease in consolidation time, all of them deliberate that it can be considered a variable of response, but 66% consider the variation of three or more weeks relevant. It is concluded that the proposals for effectiveness evaluation variables and the criteria used can be generalized to other works.