scholarly journals Arthroscopic-Assisted and Minimally Invasive Plate Osteosynthesis of Tibial Plateau Fractures

2021 ◽  
Vol 11 (4) ◽  
pp. 82-86
Author(s):  
Wakil Ahmed ◽  
Shah M. Hafizur Rahman ◽  
Razib Ahmed ◽  
Maftun Ahmed ◽  
Abu Junaid Muhammad Musaddeque Reza
Keyword(s):  
Minimally Invasive ◽  
Tibial Plateau ◽  
Plate Osteosynthesis ◽  
Tibial Plateau Fractures ◽  
Minimally Invasive Plate Osteosynthesis

scholarly journals Minimally Invasive Plate Osteosynthesis for Tibial Plateau Fractures

2012 ◽  
Vol 20 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Hasnain Raza ◽  
Pervaiz Hashmi ◽  
Kashif Abbas ◽  
Kamran Hafeez
Keyword(s):  
Minimally Invasive ◽  
Tibial Plateau ◽  
Plate Osteosynthesis ◽  
Tibial Plateau Fractures ◽  
Minimally Invasive Plate Osteosynthesis

scholarly journals To analyze the functional outcome of proximal tibial fractures treated with minimally invasive percutaneous plate osteosynthesis technique

2017 ◽  
Vol 3 (6) ◽  
pp. 1205
Author(s):  
Sivakumar Arumugam ◽  
Venkateshwara Arumugam ◽  
V. Raviraman
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Tibial Plateau ◽  
Plate Osteosynthesis ◽  
High Energy ◽  
Tibial Plateau Fractures ◽  
Tibial Fractures ◽  
Soft Tissue Dissection ◽  
Proximal Tibial Fractures ◽  
Walking Capacity

<p class="abstract"><strong>Background:</strong> Tibial plateau fractures constitute about 1% of all fractures and complex bicondylar fractures constitute 30% of all Tibial plateau fractures. Minimally Invasive Percutaneous Plate Osteosynthesis [MIPPO] is a method of biological fixation in which a plate is percutaneously inserted and fixed at a distance proximally and distally from the fracture site. By minimal exposure, this helps in the preservation of the essential fracture hematoma, minimal soft tissue dissection, avoidance of periosteal stripping and providing an adequate fixation. The objective of the study was to analyze the functional outcome of proximal Tibial fractures treated with MIPPO technique. The method of fixation shall be evaluated for the time period required for the patients to return to active work following surgery.</p><p class="abstract"><strong>Methods:</strong> In our study, all 18 patients with proximal Tibial fractures underwent definitive fixation by MIPPO technique. All our cases underwent initial stabilization as per the ATLS guidelines. Patients with closed Tibial plateau fractures associated with a tense haemarthrosis underwent aspiration of the joint under aseptic precautions. The limb was immobilized either in an above knee slab or through skeletal traction using a distal Tibial or calcaneal pin traction on a Bohler Braun splint until definitive fixation was carried out. In cases complicated with excessive swelling and blistering, definitive fixation was delayed until the swelling/ blistering subsided.<strong></strong></p><p class="abstract"><strong>Results:</strong> The post-operative results were designated as excellent, good, fair and poor according to pain, walking capacity, the range of motion and stability of the knee using Rasmussen’s grading system. In our study, the average functional knee score was 22.89. Rasmussen’s score does not consider articular congruity while assessing the functional outcome of the knee.</p><p class="abstract"><strong>Conclusions:</strong> MIPPO technique gives good to excellent results even in high energy Tibial condyle fractures [72.22% cases in our study]. Our patients were able to achieve a good functional range of movement, averaging 120 degrees. [Krettek et al – 124 degrees]. Those who were treated with early fixation and early mobilization were found to have a better functional outcome irrespective of the fracture type. No secondary bone grafting was required. </p>

Minimally Invasive Plate Osteosynthesis Using Fracture Reduction Under the Plate without Intraoperative Fluoroscopy to Stabilize Diaphyseal Fractures of the Tibia and Femur in Dogs and Cats

2019 ◽  
Vol 32 (06) ◽  
pp. 475-482 ◽  
Author(s):  
Julien Cabassu
Keyword(s):  
Postoperative Complications ◽  
Minimally Invasive ◽  
Tibial Plateau ◽  
Plate Osteosynthesis ◽  
Femoral Fractures ◽  
Fracture Reduction ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Tibial Torsion ◽  
Cortical Screw ◽  
Significant Difference

Objective The aim of this study was to prospectively evaluate postoperative alignment when using fracture reduction under the plate (FRUP) during a minimally invasive plate osteosynthesis in tibial and femoral fractures, without intraoperative imaging, and report immediate postoperative complications. Materials and Methods After precise plate contouring and preoperative planning, FRUP was obtained with one cortical screw per fragment. Fractures were stabilized with a plate or plate rod. Tibial/femoral lengths, tibial plateau angles, mechanical medial proximal and distal tibial angles, anatomical lateral distal femoral angles, femoral curvatum and neck anteversion were evaluated on postoperative radiographs and contralateral bone. Tibial torsion was evaluated visually. Paired t-test were used to compare data. Immediate postoperative complications were recorded. Results Twenty-one tibial and 20 femoral fractures were stabilized (14 plate rod cases). Mean postoperative operated tibial length was 1.4% shorter (p = 0.001). Mean postoperative operated femoral length was 2% shorter (p = 0.04). Mean operated tibial plateau angle was 1.1° lower (p = 0.02). No difference in tibial torsion was noticed. No significant difference in mechanical medial proximal tibial angle, mechanical medial distal tibial angle, anatomical lateral distal femoral angle and femoral neck anteversion was observed. Mean operated femoral curvatum angle was 5.6° less (p = 0.01). Five cases (3 plate rod cases) required an immediate revision. Clinical Significance Minimally invasive plate osteosynthesis with FRUP leads to acceptable postoperative alignment. Correct pin placement should be evaluated.

scholarly journals A STUDY OF MANAGEMENT OF PROXIMAL THIRD TIBIAL FRACTURES USING MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS (MIPPO) WITH LOCKING COMPRESSION PLATES

2020 ◽  
pp. 21-22
Author(s):  
P. Krishna Chaitanya ◽  
Chopparapu. Tulasi Mahesh
Keyword(s):  
Traffic Accidents ◽  
Tibial Plateau ◽  
Road Traffic ◽  
Plate Osteosynthesis ◽  
Axial Loading ◽  
The Elderly ◽  
Tibial Plateau Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Industrial Accidents ◽  
Articular Fractures

The Tibial plateau fractures are one of the most prevalent intra-articular fractures. Tibial plateau fractures occur due to strong valgus or varus forces combined with axial loading, i.e., fall from a height, road traffic accidents, industrial accidents, athletics, or minor injuries like stumbling, falling from steps. The Tibial plateau fractures constitute 1% of all fractures and 8% of fractures in the elderly. Isolated lateral plateau fractures constitute 55% to 70% of tibial plateau fractures. 10% to 25% are isolated medial plateau fractures, and the rest 10% to 30% are bicondylar fractures1.

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