Clinical And Functional Outcome Of Intra Articular And Extra Articular Proximal Tibial Fractures Treated By Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO)
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Complex fractures of the proximal tibia includes intra- articular tibial plateau and extra articular proximal one fourth of tibia have increased with increase in the incidence of high velocity accidents. Open plating causes a greater disruption of the extraosseous blood supply. MIPPO is a method ofbiological osteosynthesis, preserves the vascularity to the bone with less damage to the periostium and soft tissue. Materials and methods: 32 patients with proximal tibia fracutes were included in the study at Karnataka Institute of Medical Sciences, Hubli from November 2014 – May 2016. MIPPO was carried out depending on requirement for specific fracture pattern. Cases were reviewed periodically for both clinically and radiologically for bony union. Clinical outcome like fracture union, knee range of movement and other functions were assessed based on the Rasmussen functional scoring system. Results: According to overall results, outcome was excellent in 8 patients and good in 17 patients whereas unacceptable outcome in 7 patients. Average bony union time was 16.5 weeks with mean range of movement of 106 degree at knee joint. Stiffnessnwas seen in 6 patients and superficial infection in 3 patients. Hospital stay after surgery was around 12-14 days. With anatomic reduction and stable fixation along with post operative physiotherapy we could achieve better outcome. Conclusion: MIPPO for proximal tibia fractures achieved good outcome with minimal soft tissue damage, without disturbing the facture hematoma and periosteal blood supply, less incidence of complications like infection, delayed union and non union.
Authors and Affiliations
Venkatesh M Mulimani, Akash Hasthota, Rahul Desai, Chandan AE
Keywords
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