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Updated: Jul 13, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
[Preoperative management with skeletal traction in distal tibial fractures]
Alejandro Martínez Otero1, Gerardo Mafara Flores, Sixto Rodríguez Ramírez
1Hospital General Dr. Rubén Leñero", SSGDF. thunderbild@yahoo.com.mx
Objective:
To describe the immediate management of distal tibial fractures as well as the complications of soft and bony tissues.
Material And Methods:
Prospective review of 45 patients with distal tibial fractures during an 8-month period (August 1st 2005 to March 31st 2006). They were classified according to Rüedi and Allgöwer. Seventy-one percent were managed with transcalcaneal skeletal traction and 28% with Jones bandage. The neovascular status of the affected anatomical segment was reviewed and analyzed before and after the surgical procedure.
Results:
Type II distal fractures were the most frequent ones, with the left size and the male gender as predominant. Skeletal traction was used in 32 patients (71%); osteosynthesis was performed in all cases.
Conclusions:
When compared with Jones bandage, transcalcaneal skeletal traction improved the clinical conditions of the distal segment of the leg before and after the surgical procedure.
