A Study of Minimally Invasive Plate Osteosynthesis for the Treatment of Distal Tibial Fractures
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 5
Abstract
Abstract: Distal tibial fractures are very common in orthopedic clinics; they are difficult to deal with and sometimes require operative treatments. Fixation with locking compression plate by minimally invasive percutaneous plate osteosynthesis technique is an alternative treatment available. The aim of the present study was to find out the results of MIPO and its clinical outcomes. This prospective study was done in Rajiv Gandhi Institute of Medical Sciences [RIMS], Adilabad from the period of October 2013 to January 2016. 25 patients were treated with minimally invasive plate osteosynthesis [MIPO]. Patients were examined clinically and radiologically at periodical intervals 4-6 weeks for a period ranging from 6 - 40 weeks. Inclusion criteria were closed and open fractures in adults of distal tibial bone. Exclusion criteria were pathological fractures, polytrauma, crush injuries. The number of the male was 15 (60%) and the female was 10 (40%) according to AO classification Type A =15, Type B=8, Type C=2. Right side tibial involvement was seen in 17 (68%) and the left side was in 8 (32%). Average age 43.08 yrs, an average duration of hospital days was 13.6 days and average time to Radiological union was 11.04 weeks. The results were n=9 (36%), good results were in n=7 (28%) and fair results were n=4 (16%), Poor n=5 (20%). The patients reached full weight bearing after an average of 3.6 months. The average range of motion flexion/extension 17°/34° patient was able to walk without restrictions. The minimally invasive plate osteosynthesis using locking compression plate is a good and an effective technique for the treatment of fractures of the distal tibia. It has advantages like early rehabilitation, mobilization and reduced postoperative pain. It provides good stability with pre-contoured plates and improves the outcomes particularly in elderly patients. It has overall lower incidences of complications and excellent clinical outcomes.
Authors and Affiliations
Dr. L Thippeswamy Naik
Keywords
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