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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: May 7, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Single-Incision Direct Lateral Approach Versus Dual-Incision Approach for Distal Tibial and Fibular Fractures.

Jitendra Mishra1, Tapan Kumar Das1, Kshitij Guglani1

  • 1Department of Orthopaedics, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, IND.

Cureus
|October 17, 2024
PubMed
Summary
This summary is machine-generated.

The single-incision direct lateral approach for distal tibial and fibular fractures offers better soft tissue healing and functional outcomes compared to the dual-incision method. This surgical technique reduces complications and improves patient recovery after high-energy trauma.

Keywords:
anterolateral distal tibia platedelayed wound healingdirect lateral approachdistal tibia and fibula fracturesdistal tibia fracturedistal tibia locking compression platemipo tibiaorif distal tibia fibulapilon fracturessingle-incision plating

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery

Background:

  • Distal tibial and fibular fractures often result from high-energy trauma.
  • Open reduction and internal fixation (ORIF) is a common treatment for displaced fractures.
  • Surgical approaches include single-incision direct lateral or dual-incision methods.

Purpose of the Study:

  • To compare clinico-radiological and functional outcomes of single-incision direct lateral vs. dual-incision approaches for distal tibial and fibular fractures.
  • To evaluate operative time, blood loss, and complication rates.
  • To assess functional recovery using AOFAS scores, ROM, and pain scores.

Main Methods:

  • Prospective comparative cohort study of 40 patients (20 per group).
  • Surgical procedures: ORIF with plating via single-incision direct lateral or dual-incision approach.
  • Follow-up of at least 12 months, assessing AOFAS score, ROM, wound healing (Southampton score), VAS pain, and radiographs.
  • Complications were systematically recorded.

Main Results:

  • Single-incision approach had shorter operative time (95.06 vs. 109.89 min) and less blood loss (202.41 vs. 248.39 mL).
  • Superior AOFAS scores (91.47 vs. 83.33), better ankle ROM, and lower VAS pain scores in the single-incision group.
  • Fewer soft tissue complications and improved wound healing observed with the single-incision approach.

Conclusions:

  • The single-incision direct lateral approach demonstrates superior soft tissue healing and functional outcomes.
  • This approach is associated with reduced wound complications and improved patient recovery.
  • The single-incision method is a favorable alternative for treating distal tibial and fibular fractures.