scholarly journals A study of results of surgical management of distal tibia fractures treated by mippo tehnique with locking compression plate

2019 ◽  
Vol 5 (2) ◽  
pp. 653-657
Author(s):  
Dr. Vijaya Shankar ◽  
Dr. Kathir Azhagan S
Author(s):  
P. S. Vikranth ◽  
N. Vamshi Varenya

<p class="abstract"><strong>Background:</strong> Distal tibia fractures are common and represent 6-8% of all lower limb fractures treated by an orthopaedic surgeon. Anatomical reduction with good fracture stability and minimal soft tissue dissection give good functional results. Locking compression plate combined with minimally invasive percutaneous plate osteosynthesis (MIPPO) technique has yielded good results. In this prospective study, authors studied 30 patients treated with LCP using MIPPO technique to know the functional outcome.</p><p class="abstract"><strong>Methods: </strong>A total 30 patients were studied in this technique, which include both male and females of different age groups treated with LCP using MIPPO technique. All the patients were followed up for 12 months between March 2018 to March 2019 in orthopaedic department. The functional and radiological outcomes were assessed.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total 30 patients both male and females were studied with age groups between 18 to 65 years. Average follow-up was 12 months using Olerud and Molander scoring system authors had excellent results in 16 patients (54%), good in 9 patients (30%), fair in 4 patients (12%) and poor outcome in 1 patient (4%).</p><p><strong>Conclusions:</strong> Surgery with locking compression plate along active physiotherapy proved to be better for distal tibia fractures.</p>


2016 ◽  
Vol 827 ◽  
pp. 359-366
Author(s):  
Gűnther Theisz ◽  
Karel Frydrýšek ◽  
František Fojtík ◽  
Luboš Pečenka ◽  
Tomáš Kubín ◽  
...  

This article represents a multidisciplinary approach to biomechanics (engineering + medicine) in the field of distal tibia fractures. The objective of the present study was to carry out a strength and reliability assessment of a medial plate for the treatment of distal tibia fractures. This was performed via numerical modelling (FEM) and experimental methods (compression test and Electronic Speckle Pattern Interferometry – ESPI method). The plate is used for internal fixation in orthopaedics and traumatology. Analyses were performed for non-fused bone with comminuted fracture in the distal metaphysis (i.e. unsuccessful treatment, where all loads in the metaphysis are carried by the plate). An anatomical tibia model (based on CT images in Mimics software) was used for FE analysis. In the experiments, the bone was replaced with a shaped piece of spruce wood (based on Mimics software) and the plate was loaded until its failure (major plastic deformation). Numerical and experimental results were evaluated and compared.


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