Minimal Invasive Percutaneous Plate Osteosynthesis for Distal TibialFractures: A Prospective Study
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2014, Vol 3, Issue 1
Abstract
Background: Fractures of distal tibia and pilon fracturesare one of the most common fractures and aredifficult to treat on account of, absence of muscle tissueattachment on lower ¼ tibia and metaphyseal cancellouscomminution. Most of them are compound fracturesand result in poor blood supply to the distal tibia.The conventional technique of Open Reduction andInternal Fixation (ORIF) with plating of distal tibia fracturerequires wide exposure, extensive soft tissue strippingwith subsequent risk of infection and skin necrosis.Minimal Invasive Percutanous Plate Osteosunthesis(MIPPO) technique avoids all of the above and henceis associated with better functional results. Aim: Thepurpose of the study was to assess the complicationsand treatment outcome of closed extra-articular distaltibia fracture. Material and Methods: The results ofthe management for 50 patients with closed extraarticulardistaltibia fracture percutaneous plating werereviewed prospectively. The variables includedArbeitsgemeinschaft fur osteosynthesefragen (AO)classification of tibia fracture, the mean duration ofunion, malunion, and nonunion. Results: The most commontype of fractures seen were A1 type observed in33 patients. Initial union occurred in 44 patients. 2 patientshad superficial wound infection and 1 had deepinfection in plating group while the rest of 3 patientshad other complications. None of the patients had restrictionin knee and ankle motion. All fractures healedwithin one year. There was no fracture malunion. Conclusion:The use of indirect reduction techniques andsmall incisions to insert hardware is technically moredemanding and requires strict radioscopic controlthroughout the procedure, but it considerably decreasessurgical trauma to the soft tissues.
Authors and Affiliations
Nitin Samal , Sanjay Deshpande , Vasant Gawande , Romil Rathi
Keywords
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