Fracturas subtuberositarias del extremo superior de la tibia

The subtuberosity level factures of the upper end of the tibia are localised in a space Iimitated proximately by a high metaphisis level and distally by the beginning of the shaft, just at the upper border of the interosseus membran.The author analizes their mechanism and c1asification: high and low transversal fractures, short and long oblicuae, conminuted, doubles, complicated with vessel injuries with recovery or vessel injuries which required amputation.Seventy two fractures of this type are founded in a total of 787 fractures of tibia and fibula collected, been the frecuency 7''''75%. Frecuently the treatment presents difficulties, been open fractures with severe lessions of   hoft tissues and also because the proximal fragment is relatively small and. solidary to the femur; therefore the reduction and immoviIization are always difficult.The thecniques of internal fixation are: screw, plate, molded plate, naling; the most suitable internal fixation being by the Kerboull''''s plate or A.O. types. Another method used is the osteotaxis.The injury of the vessels has its particular problems.

The subtuberosity level factures of the upper end of the tibia are localised in a space Iimitated proximately by a high metaphisis level and distally by the beginning of the shaft, just at the upper border of the interosseus membran.The author analizes their mechanism and c1asification: high and low transversal fractures, short and long oblicuae, conminuted, doubles, complicated with vessel injuries with recovery or vessel injuries which required amputation.Seventy two fractures of this type are founded in a total of 787 fractures of tibia and fibula collected, been the frecuency 7''''75%. Frecuently the treatment presents difficulties, been open fractures with severe lessions of   hoft tissues and also because the proximal fragment is relatively small and. solidary to the femur; therefore the reduction and immoviIization are always difficult.The thecniques of internal fixation are: screw, plate, molded plate, naling; the most suitable internal fixation being by the Kerboull''''s plate or A.O. types. Another method used is the osteotaxis.The injury of the vessels has its particular problems.