Minimally invasive plate osteosynthesis in type B fibular fractures versus open surgery

2013 ◽  
Vol 97 (3) ◽  
pp. 229-235 ◽  
Author(s):  
C. Iacobellis ◽  
C. Chemello ◽  
A. Zornetta ◽  
R. Aldegheri
Keyword(s):  
Minimally Invasive ◽  
Open Surgery ◽  
Plate Osteosynthesis ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Type B

scholarly journals Minimally Invasive Plate Osteosynthesis (MIPO) Versus Open Reduction and Internal Fixation (ORIF) in the Treatment of Distal Fibula Danis-Weber type B and C Fractures

2020 ◽  
Author(s):  
Cesare Marazzi ◽  
Matthias Wittauer ◽  
Michael T. Hirschmann ◽  
Enrique A. Testa
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Open Reduction ◽  
Plate Osteosynthesis ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Consecutive Series ◽  
Type B ◽  
Distal Fibula ◽  
Clear Space ◽  
Weber Type

Abstract BackgroundMinimally invasive plate-osteosynthesis (MIPO) has been reported to be superior to open reduction and internal fixation (ORIF) in the treatment of different long bone fractures. Nevertheless, in distal fibula fractures the evidence of MIPO remains scarce. The aim of this retrospective study was to compare the clinical and radiological outcomes of the minimally invasive techniques applied to the distal fibula with open reduction and internal fixation within a 12 months follow-up.MethodsA consecutive series of patients who underwent surgery using either ORIF or MIPO for the treatment of distal fibula fractures between 2010 and 2014 were retrospectively analysed. All distal fibular fractures requiring an operative treatment (Danis-Weber type B ≙ AO type 44 B1, 2, 3 and Danis-Weber type C ≙ AO type 44 C1, 2) were included (ORIF n=35, MIPO n=35). Patients were assessed for postoperative pain using a visual analogue scale (VAS) for pain (ranging from 0 to 10) and classified into 4 groups; “no pain” for VAS=0, “low” for VAS=1-3, “moderate” for VAS=3-5 and “severe” for VAS=5-10. In addition, complications of postoperative fracture-related infection, wound healing disorders, vascular and nerve injury as well as development of nonunion, were evaluated and analyzed. Radiologic outcome measures assessing the talocrural angle, lateral and medial clear space, tibiofibular overlap and talar tilt angle were evaluated postoperatively. ResultsThe overall complication rate showed to be lower in the MIPO group compared to the ORIF group (14% vs. 37%, p=0.029). Even though not statistically significant, specific surgery related complications such as skin necrosis (3% vs. 9%, p= 0.275), nonunion (0% vs. 6%, p=0.139), infections and wound healing disorders (9% vs. 20%, p=0.141) as well as postoperative pain (17% vs. 26%, p=0.5) were found more frequently in the ORIF group. The tibiofibular overlap demonstrated to be significantly lower in the ORIF group (3.3mm vs. 2.7mm, p=0.033). The talocrural angle, talar tilt angle, lateral and medial clear space showed to be equivalent in both groups.ConclusionIn this retrospective single-center consecutive series MIPO was superior to ORIF in the surgical treatment of distal fibula fractures with respect to the overall complication rate. Trial registration:EKNZ Project-ID: 2019-02310; registrated 20th of December 2019 with swissethics

scholarly journals Minimally invasive plate osteosynthesis (MIPO) versus open reduction and internal fixation (ORIF) in the treatment of distal fibula Danis-Weber type B and C fractures

2020 ◽  
Author(s):  
Cesare Marazzi ◽  
Matthias Wittauer ◽  
Michael T. Hirschmann ◽  
Enrique A. Testa
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Open Reduction ◽  
Plate Osteosynthesis ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Consecutive Series ◽  
Type B ◽  
Distal Fibula ◽  
Clear Space ◽  
Weber Type

Abstract Background Minimally invasive plate-osteosynthesis (MIPO) has been reported to be superior to open reduction and internal fixation (ORIF) in the treatment of different long bone fractures. Nevertheless, in distal fibula fractures the evidence of MIPO remains scarce. The aim of this retrospective study was to compare the clinical and radiological outcomes of the minimally invasive techniques applied to the distal fibula with open reduction and internal fixation within a 12 months follow-up. Methods A consecutive series of patients who underwent surgery using either ORIF or MIPO for the treatment of distal fibula fractures between 2010 and 2014 were retrospectively analysed. All distal fibular fractures requiring an operative treatment (Danis-Weber type B ≙ AO type 44 B1, 2, 3 and Danis-Weber type C ≙ AO type 44 C1, 2) were included (ORIF n=35, MIPO n=35). Patients were assessed for postoperative pain using a visual analogue scale (VAS) for pain (ranging from 0 to 10) and classified into 4 groups; “no pain” for VAS=0, “low” for VAS=1-3, “moderate” for VAS=3-5 and “severe” for VAS=5-10. In addition, complications of postoperative fracture-related infection, wound healing disorders, vascular and nerve injury as well as development of nonunion, were evaluated and analyzed. Radiologic outcome measures assessing the talocrural angle, lateral and medial clear space, tibiofibular overlap and talar tilt angle were evaluated postoperatively. Results The overall complication rate showed to be lower in the MIPO group compared to the ORIF group (14% vs. 37%, p=0.029). Even though not statistically significant, specific surgery related complications such as skin necrosis (3% vs. 9%, p= 0.275), nonunion (0% vs. 6%, p=0.139), infections and wound healing disorders (9% vs. 20%, p=0.141) as well as postoperative pain (17% vs. 26%, p=0.5) were found more frequently in the ORIF group. The tibiofibular overlap demonstrated to be significantly lower in the ORIF group (3.3mm vs. 2.7mm, p=0.033). The talocrural angle, talar tilt angle, lateral and medial clear space showed to be equivalent in both groups. Conclusion In this retrospective single-center consecutive series MIPO was superior to ORIF in the surgical treatment of distal fibula fractures with respect to the overall complication rate.

scholarly journals Minimally invasive plate osteosynthesis (MIPO) versus open reduction and internal fixation (ORIF) in the treatment of distal fibula Danis-Weber type B and C fractures

2020 ◽  
Author(s):  
Cesare Marazzi ◽  
Matthias Wittauer ◽  
Michael T. Hirschmann ◽  
Enrique A. Testa
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Open Reduction ◽  
Plate Osteosynthesis ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Consecutive Series ◽  
Type B ◽  
Distal Fibula ◽  
Clear Space ◽  
Weber Type

Abstract Background Minimally invasive plate-osteosynthesis (MIPO) has been reported to be superior to open reduction and internal fixation (ORIF) in the treatment of different long bone fractures. Nevertheless, in distal fibula fractures the evidence of MIPO remains scarce. The aim of this retrospective study was to compare the clinical and radiological outcomes of the minimally invasive techniques applied to the distal fibula with open reduction and internal fixation within a 12 months follow-up.Methods A consecutive series of patients who underwent surgery using either ORIF or MIPO for the treatment of distal fibula fractures between 2010 and 2014 were retrospectively analysed. All distal fibular fractures requiring an operative treatment (Danis-Weber type B ≙ AO type 44 B1, 2, 3 and Danis-Weber type C ≙ AO type 44 C1, 2) were included (ORIF n=35, MIPO n=35). Patients were assessed for postoperative pain using a visual analogue scale (VAS) for pain (ranging from 0 to 10) and classified into 4 groups; “no pain” for VAS=0, “low” for VAS=1-3, “moderate” for VAS=3-5 and “severe” for VAS=5-10. In addition, complications of postoperative fracture-related infection, wound healing disorders, vascular and nerve injury as well as development of nonunion, were evaluated and analyzed. Radiologic outcome measures assessing the talocrural angle, lateral and medial clear space, tibiofibular overlap and talar tilt angle were evaluated postoperatively. Results The overall complication rate showed to be lower in the MIPO group compared to the ORIF group (14% vs. 37%, p=0.029). Even though not statistically significant, specific surgery related complications such as skin necrosis (3% vs. 9%, p= 0.275), nonunion (0% vs. 6%, p=0.139), infections and wound healing disorders (9% vs. 20%, p=0.141) as well as postoperative pain (17% vs. 26%, p=0.5) were found more frequently in the ORIF group. The tibiofibular overlap demonstrated to be significantly lower in the ORIF group (3.3mm vs. 2.7mm, p=0.033). The talocrural angle, talar tilt angle, lateral and medial clear space showed to be equivalent in both groups.Conclusion In this retrospective single-center consecutive series MIPO was superior to ORIF in the surgical treatment of distal fibula fractures with respect to the overall complication rate.

Danger zone for screw placement in minimally invasive plate osteosynthesis (MIPO) of diaphyseal fractures of forearm: a cadaveric study

2021 ◽  
Author(s):  
Apipop Kritsaneephaiboon ◽  
Watit Wuttimanop ◽  
Surasak Jitprapaikulsarn ◽  
Pornpanit Dissaneewate ◽  
Chulin Chewakidakarn ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Cadaveric Study ◽  
Screw Placement ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Danger Zone ◽  
Diaphyseal Fractures

scholarly journals Minimally Invasive Plate Osteosynthesis of Comminuted One Bone Fractures of Forearm Shaft

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 55S-56S
Author(s):  
Kang Hong Je ◽  
Kim Sejin ◽  
Choi Ji Woong ◽  
Kim Dong Hee
Keyword(s):  
Minimally Invasive ◽  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Minimally Invasive Plate Osteosynthesis

Minimally invasive plate osteosythesis of fractures of the radius and ulna in a primate

2013 ◽  
Vol 26 (05) ◽  
pp. 416-420
Author(s):  
K. Tong ◽  
L. P. Guiot
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Dynamic Compression ◽  
World Monkey ◽  
Mammalian Species ◽  
Normal Activity ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Mandrillus Sphinx ◽  
Ulnar Fracture ◽  
Osteosynthesis Techniques

SummaryA 25-year-old female mandrill (Mandrillus sphinx - a primate and part of the Old World monkey group) was presented with a mildly comminuted, diaphyseal, radial fracture associated with a transverse ulnar fracture. Minimally invasive plate osteosynthesis techniques were used to achieve fixation of both the radial and the ulnar fractures. First, closed fracture reduction was achieved with a distraction frame consisting of a motorized circular external skeletal fixator. Next, dual percutaneous radio-ulnar plating was performed using a 2.7 limited-contact dynamic compression plate on the cranial aspect of the radius and two stacked 2.0/2.7 veterinary cut-to-length plates on the lateral aspect of the ulna. Uncomplicated recovery was observed with a complete return to normal activity three months postoperatively. Fracture healing was documented at four weeks, clinical union at 14 weeks, and callus remodelling at 24 weeks postoperatively. This report demonstrates the feasibility of minimally invasive plate osteosynthesis in a primate and shows the adaptability of this technique across mammalian species.

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