ISSN: 1859 - 2872
¬¬¬¬Result of distal medial tibial locking plate osteosynthe-sis in treatment for distal metaphyseal tibial fractures
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Abstract
Objective: Minimally invasive percutaneous plate osteosynthesis (MIPPO) technique has now become more popular with the development of the locking plate. This study aimed to assess the outcomes of the using MIPPO technique with the medial distal tibial locking plate in treatment of the distal metaphyseal tibial fractures. Subject and method: Between April 2013 and December 2016, 70 patients (male/female: 53/17) of mean age 44 years (range 19 - 74) underwent MIPPO for metaphyseal tibial fractures using medial distal tibial locking plate (Intercus, Germany). Seventy fractures included 59 closed and 11 open (Gustilo classification, grade I: 4 cases, grade II: 7 cases). The main outcome measurements of this prospetive observational study are the wound healing, alignment, full weight bearing time, function and complications. Result: Sixty three cases were primary osteosynthesis, 7 cases were temporary fixed with external fixators before changed by locking plate. All the wounds of the MIPPO surgery primary healed, just one fibular plating wound was deeply infected. No case was varus, valgus or rotation > 5°. All of 70 tibial fractures were firm union without secondary displacement. The average time back to walk without crutche was 12.5 weeks. The mean AOFAS score was 85 at a mean of 15 months follow-up. Conclusion: Using medial distal tibial locking plate with MIPPO technique in treatment for the distal metaphyseal tibial fracture is safe and effective. This technique decreases the incidence of complications and can help patients to resume their function early.
Keywords: Distal tibial fracture, locking plate, MIPPO.
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References
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