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Functional restitution after lower leg fractures

A long-term follow-up

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Summary

Twenty-five patients with fractures of the lower leg treated by closed reduction and plaster fixation were examined an average of 7 years and 8 months after trauma. The end result was assessed according to the following: (1) The patient's own opinion; (2) clinical examination including comparing range of motion in knee and ankle in the fractured and non-fractured leg, leg length discrepancy, malrotation of the injured extremity and muscle force analysis; (3) radiological examination. All fractures had healed after a mean of 13.4 weeks. Twelve of the 25 patients had no complaints. Subjective and objective assessment of the end results were in good correlation. Only eight patients had remaining radiological displacement, in only one of which it was severe. The slight remaining malpositionings did not influence the final functional result. The muscle force analysis showed that fractures caused by high-energy trauma also brought permanent reduction of muscular strength to the fractured extremity.

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References

  1. Clementz BG (1988) Fluoroscopic assessment of tibial torsion and rotational deformity in adults. Thesis Uppsala University, Sweden

    Google Scholar 

  2. Damholt W, Termansen NB (1978) Asymmetry of plantar flexion in strength in the foot. Acta Orthop Scand 49:215–219

    Google Scholar 

  3. Dehne E, Deffer PA, Hall R, Brown PW, Johnson E (1961) The natural history of the fractured tibia. Surg Clin North [Am] 41:1495–1513

    Google Scholar 

  4. Fugl-Meyer AR, Sjöström M, Wählby L (1977) Human plantar flexion strength and structure. Acta Physiol Scand 107:47–56

    Google Scholar 

  5. Fugl-Meyer AR, Gustafsson L, Burstedt Y (1980) Isokenetic and static plantar flexion characteristics. Fur J Appl Physiol 45:221–234

    Google Scholar 

  6. Hansen BA, Greiff J, Bergmann F (1976) Fractures of the tibia in children. Acta Orthop Scand 47:448–453

    Google Scholar 

  7. Hislop P, Perrine H (1967) The isokinetic concept of exercise. JAPTA 47:114–117

    Google Scholar 

  8. Inglis AE, Scott N, Sculco TP, Patterson AH (1976) Ruptures of the tendo achilles. J Bone Joint Surg [Am] 58:990–993

    Google Scholar 

  9. Karlström G, Lönnerholm T, Olerud S (1975) Cavus deformity of the foot after fracture of the tibial shaft. J Bone Joint Surg [Am] 57:893–900

    Google Scholar 

  10. Karlström G, Olerud S (1975) Fractures of the tibial shaft. Clin Orthop 105:82–115

    Google Scholar 

  11. Kristensen KD, Kiaer T, Blicher J (1989) No arthrosis of the ankle 20 years after malaligned tibial-shaft fractures. Acta Orthop Scand 60:208–209

    Google Scholar 

  12. Merchant TC, Dietz FR (1989) Long-term follow-up after fractures of the tibial and fibular shafts. J Bone Joint Surg [Am] 71:599–606

    Google Scholar 

  13. Moffroid M, Whipple R, Hofkosh J [Am] Lowman E, Thistle H (1969) A study of isokinetic exercise. Phys Ther 49:735–747

    Google Scholar 

  14. Müller ME, Allgöwer M, Willenegger H (1978) Manual of internal fixation. Springer, Berlin Heidelberg New York

    Google Scholar 

  15. Müller ME, Allgöwer M, Willenegger H (1965) Technique of internal fixation of fractures. Spinger, Berlin Heidelberg New York

    Google Scholar 

  16. Nistor L, Markhede G, Grimby G (1982) A technique for measurement of plantar flexion torque with a Cybex 2 dynamometer. Scand J Rehab Med 14:163–166

    Google Scholar 

  17. Olerud S, Karlström G (1972) Tibial fractures treated by AO compression osteosynthesis. Acta Orthop Scand [Suppl] 140

  18. Sarmiento A (1967) A functional below the knee cast for tibial fractures. J Bone Joint Surg [Am] : 855–873

  19. Sarmiento A [Am] (1974) Functional bracing of tibial fractures. Clin Orthop 105:202–222

    Google Scholar 

  20. Önnerfeldt R (1978) Fracture of the tibial shaft treated by primary operation and early weight bearing. Acta Orthop Scand [Suppl] 171

Download references

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Netz, P., Olsson, E., Ringertz, H. et al. Functional restitution after lower leg fractures. Arch Orthop Trauma Surg 110, 238–241 (1991). https://doi.org/10.1007/BF00572879

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