Clinical and Radiological Evaluation of Patients of Proximal Tibial Fractures Treated with Long Proximal Tibial Locking Plate by Minimally Invasive Plate Osteosynthesis Technique
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Introduction: Treatment of proximal tibial fractures is challenging because of limited soft tissue cover and less vascularity. Open reduction and internal fi xation with plate cam result in extensive devitalization of soft tissue leading to wound healing problems. Minimally invasive plate osteosynthesis (MIPO) is a new technique which is becoming widely accepted for treatment of periarticular fractures. Aims and Objectives: To evaluate functional and radiological outcome in proximal tibial fractures treated with MIPO. Materials and Methods: In this, 32 patients of proximal tibial fractures with diaphyseal extension or comminution were included. These fractures were treated with long proximal tibia locking plate by MIPO technique. They were followed up to 1 year post-operatively for assessing function and radiological outcome using modifi ed Rasmussen’s functional and radiological scores, respectively. Results: This study included 32 patients of proximal tibia fractures treated with MIPO technique. Of the 32 case, 12 patients (37.5%) had excellent result, 14 (43.75%) had good, four (12.5%) were fair, while two (6.25%) had poor function outcome. For the radiological assessment, there were three patients (9.37%) with excellent result, 24 (75%) with good, three (9.37%) with fair, while two (6.25%) with poor result. Discussion: Proximal tibial fractures are seen in high energy trauma which is associated with soft tissue injury and sometimes neurovascular injuries too. MIPO technique maintains a biological favorable environment for healing by reducing soft tissue trauma caused by surgical exposure. Conclusion: Treatment by MIPO technique after improvement of the soft tissue condition gives good results from radiological as well as functional point of view. The use of long plates spanning the length of the fracture also gives adequate stability to allowing for fractures union and soft tissue healing.
Authors and Affiliations
P D Deokate, Rahul G Puranik, A R Kale, V S Patil
Keywords
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