Results of Minimally Invasive Plate Osteosyntheses in Periarticular Knee Fractures
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2017, Vol 29, Issue 01
Abstract
Objectives: To evaluate the outcome of periarticular knee fractures treated with MIPO technique. Methods: This descriptive cross sectional study was conducted from January 2012 to December 2014. Data including: age, gender, mechanism of injury, bone involved, Final outcome and complications during surgery were recorded on a pre-formed proforma. Knee Society score was used to assess the final outcome. Results: There were 26 patients, 16 (61.5%) male and 10 (38.5%) female. The overall mean age was 37.15 years±3.64 (SD) (17-65years). 11(42.3%) patients had distal femur fracture while 15 (57.7%) patients had proximal tibial fracture. 22 (84.6%) patients had closed fractures while open fractures in 4 (15.4%) patients, all involving proximal tibia. Mean union time for distal femur was 15.55week2.98 (SD) (10-20weeks), while mean time for union of proximal tibia was 18.33weeks+_3.56 (SD) (12-24 weeks). Mean follow-up was 11.88months 7.1(SD)(8-20months). According to Knee Society Score, Clinical results were excellent in 6 (23.1%) patients, good in 16(61.5%) patients, fair in 2(7.7%) patients, and poor in 2(7.7%) patients. Functional outcome was excellent in 6(23.1%) patients, good in 17(65.4%) patients and poor in 3 (11.5%) patients. Conclusion: MIPO is well-documented technique and achieves good biological fixation in periarticular knee fractures with good results and low complication rates.
Authors and Affiliations
Muhammad Shoaib Khan, Hidayatullah, Adnan Jamal, Abid Ali, Basit Hussain, Zahid Askar
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