Analysis of cases of distal tibial fracture managed with MIPPO technique
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 3
Abstract
Background: Fracture of this bone is challenge for orthopedic surgeon as there is less muscular covering the bone. This leads to complications such as non- union, delayed union or dehiscence. The present study was conducted to assess the cases of distal tibial fractures in study population. Materials & Methods: The present study was conducted on 128 cases of both genders reported to the department. All cases were managed with minimally invasive percutaneous plate osteosynthesis (MIPPO). All were recalled regularly. Routine X-rays were taken such as AP view and lateral view to see outcome of the treatment. American orthopedics foot and ankle score (AOFAS) ankle-hind foot scale was used for assessing the results. Scores such as excellent (90-100), good (75-89), fair (50-74) and poor <50 was considered. Results: Out of 128 cases, males were 68 and females were 60. The difference was non- significant (P- 1). The mean value of movements such as dorsiflexion was 18.2°, plantar flexion was 48.6°, inversion was 17.2°, eversion was 16.8°. Mean union time of fractures was 18.4 weeks and follow up period was 10.4 months. Among various causes, road side accident (RSA) was seen in 112, fall from height in 30 and sports injury in 26 cases. The difference was significant (P<0.05). AOFA score was excellent in 60 males and 52 females, good in 4 males and 6 females, fair in 4 males and 1 female and poor in 1 females. The difference was significant (P<0.05). Conclusion: MIPPO is one of the effective and efficient management for distal tibial fracture. Road side accident was the main reason for fracture.
Authors and Affiliations
Vinay Kumar Tripathi, Dr. Parijat Gupta
Keywords
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