Clinical Outcomes of Locking Compression Plate Fixation through Minimally Invasive Percutaneous Plate Osteosynthesis in the Treatment of Distal Tibia Fracture

2012 ◽  
Vol 25 (2) ◽  
pp. 117 ◽  
Author(s):  
Jae-Sung Yoo ◽  
Hyun-Woo Park
Keyword(s):  
Minimally Invasive ◽  
Clinical Outcomes ◽  
Plate Osteosynthesis ◽  
Plate Fixation ◽  
Distal Tibia ◽  
Locking Compression Plate ◽  
Tibia Fracture ◽  
Distal Tibia Fracture ◽  
Compression Plate

scholarly journals Evaluation of results of minimally invasive plating osteosynthesis (MIPO) technique in the treatment of fractures of distal tibia

2016 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
Waseem Akram ◽  
Ajay Kumar Mahto ◽  
Masroor Alam
Keyword(s):  
Minimally Invasive ◽  
Distal Tibia ◽  
Operation Time ◽  
Delayed Union ◽  
Locking Compression Plate ◽  
Tibia Fracture ◽  
Distal Tibia Fracture ◽  
Alternative Treatment Option ◽  
Compression Plate ◽  
Minimally Invasive Plating

<p class="abstract"><strong>Background:</strong> The limited soft tissue, subcutaneous location of large portion of tibia and precarious blood supply renders the treatment of distal tibial fracture very challenging. The main treatment of this type of fracture is reinstatement of the normal alignment and articular congruity. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed Reduction and MIPO with locking compression plate (LCP) has emerged as an alternative treatment option because it respects biology of distal tibia, maintains fracture haematoma and provides biomechanically stable construct, early mobilization, less complications and relatively higher rates of union<span lang="EN-IN">.</span>The aim of this study was to evaluate the functional and clinical outcomes of distal tibia fracture of patients, treated by internal fixation by minimally invasive plating osteosynthesis (MIPO) technique with locking compression plate (LCP).</p><p class="abstract"><strong>Methods:</strong> Sixty patients with distal tibia fracture with or without intra articular extension were treated in our department, Katihar Medical College and Hospital, Katihar with MIPO with LCP and were prospectively followed for average duration of 16 months (6-24 months).<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 60 patients in the study including 48 males and 12 female of mean age 43 years. The mean follow up period of our patients varied ranging from 6 months to 24 months (average– 16 months). All fractures united at an average of 16 weeks (range- 12 to 20 weeks) except two cases of delayed union(&gt;20 weeks) in patients with Gustilo – Anderson type III A fracture. There were five superficial wound infections which were treated with oral antibiotics and progressed to union and there were no failures of implants. There were two cases of delayed union and malalignment<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Minimally invasive plating osteosynthesis (MIPO) is an effective method of treatment for distal tibial fractures. The use of indirect reduction techniques and small incision is technically demanding as it is effective, minimally invasive, optimises the operation time, promotes early healing and reduces the incidence of infections.</span></p>

scholarly journals Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Diametaphyseal Tibia Fracture

2012 ◽  
Vol 9 (2) ◽  
pp. 62-68 ◽  
Author(s):  
D Shrestha ◽  
B M Acharya ◽  
P M Shrestha
Keyword(s):  
Minimally Invasive ◽  
Average Duration ◽  
Plate Osteosynthesis ◽  
Skin Irritation ◽  
Distal Tibia ◽  
Locking Compression Plate ◽  
Tibia Fracture ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Management Options ◽  
Compression Plate

Background Distal diametaphyseal tibia fracture though requires operative treatment is difficult to manage. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed reduction and minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanicaly stable construct. Objectives To find out suitability of MIPO with LCP for distal diametaphyseal tibia fracture including union time and complicatios and compare wih other available management options in literature. Methods Twenty patients with closed distal diametaphyseal tibia fracture with or without intra articular extension (AO classification: 12 type 43A1, 4 type 43A2, 2 type 43A3 and 2 type 43B1) treated with MIPO with LCP were prospectively followed for average duration of 18.45 months (range 5-30 months). Results Average duration of injury-hospital and injury-surgery interval was 12.8 hrs (range 2-44 hrs) and 4.45 days (range 1-10 days) respectively. All fractures got united with an average duration of 18.5 weeks (range14-28weeks) except one case of delayed union which was managed with percutaneous bone marrow injection. Two patients had union with valgus angulation < 5 degees but no nonunion was found. There were two superficial and one deep post operative wound infection. All infections healed with extended period of intravenous antibiotics besides repeated debridemet for deep infection. Implants were removed in eight patients among whom six (30%) had malleolar skin irritation and pain due to prominent hardware. Conclusion The present case series shows that MIPO with LCP is an effective treatment method in terms of union time and complications rate for distal diametaphyseal tibia fracture. Malleolar skin irritation is common problem because of prominent hardware.DOI: http://dx.doi.org/10.3126/kumj.v9i2.6291Kathmandu Univ Med J 2011;9(2):62-8

scholarly journals Minimally invasive plate osteosynthesis with locking compression plate for proximal and distal diametaphyseal tibial fracture

2018 ◽  
Vol 9 (6) ◽  
pp. 76-83
Author(s):  
Upendra Jung Thapa ◽  
Krishna Sapkota ◽  
Krishna Wahegaonkar ◽  
Niraj Ranjeet ◽  
Pabin Thapa ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Wound Dehiscence ◽  
Deep Infection ◽  
Delayed Union ◽  
Locking Compression Plate ◽  
Tibia Fracture ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Superficial Infection ◽  
Compression Plate

Background: The treatment of proximal and distal diametaphysealtibial fractures remains controversial. This study was performed to evaluate the results of Locking compression plate using MIPO technique in the management of proximal and distal diametaphysealtibial fracture.Aims and Objective: To analyse and observe the result of management of metaphyseal fractures of tibia with respect to operative technique, stability of fixation, union of fracture, post-operative range of motion and complication. Materials and Methods: The study was prospective study. Forty two patients who sustained fractures of proximal and distal dia-metaphyseal tibial fractures with or without articular involvement were included in the study and treated by employing the concept of Minimally invasive plate osteosynthesis during period of August 2015 to December 2017 and followed up at regular interval with minimum six months to thirty months. Intervention: Surgical reduction and fixation of fracture using proximal and distal anatomical locking compression plate followed by rehabilitation. Main outcome measure: Radiological outcome, perioperative and postoperative complication, postoperative alignment, range of motion.Results: All fractures got united with the average duration of 22.7 weeks for proximal metadiaphyseal tibia and 19.9 weeks for distal diametaphysealtibia. There were 3 delayed union cases which got united without any surgical intervention. Deep peroneal nerve palsy was seen in 2 cases with proximal tibia fracture treated with longer plate. 2 cases of superficial infection and one deep infection seen with proximal diametaphyseal fracture and 2 superficial infection with one case of wound dehiscence and implant prominent seen with distal diametaphyseal tibia fracture. No malalignment or angulation of more than 10 degree occurred in any plane for both proximal and distal diametaphyseal fractures.Conclusion: MIPO provides stable fixation with excellent union rate with minimal complication for both proximal and distal diametadiaphysealtibial fracture.Asian Journal of Medical Sciences Vol.9(6) 2018 76-83

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