Minimally invasive plate osteosynthesis of peri-articular fractures of distal tibia: A clinical study
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 2
Abstract
Objectives: Treatment of distal tibial fractures using minimally invasive plate osteosynthesis (MIPO) technique may minimise damage to soft tissues and the vascular integrity of bony fragments. This is a study to assess the outcome of patients treated with MIPO technique for distal tibial fractures. Methods: A Prospective study of 30 patients treated for distal tibial fractures using a distal tibial locking plate through the MIPO technique. Clcal and functional outcome was evaluated using Ankle score. Results: There were 24 males and 6 females of mean age 40 years. The mean follow-up period was 14 months. According to the AO classification system, there were 12 patients with 43A type fractures, 10 patients with 43B, and 8 patients with 43C type fractures. Mean time to union was 18 months. There were 5 cases with superficial infections treated successfully using oral antibiotics and no failures of fixation. There were no cases of non-union/delayed union or rotational malalignment. Conclusion: MIPO is an effective method of treatment for distal tibial fractures. The use of indirect reduction techniques and small incisions is technically demanding but decreases surgical trauma to soft tissues.
Authors and Affiliations
Dr. Babulreddy, Mattam Sanjay
Keywords
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