scholarly journals Evaluation of functional outcome of distal tibial fractures managed with locking compression plate using minimally invasive plate osteosynthesis (MIPPO) technique

2021 ◽  
Vol 5 (3) ◽  
pp. 157-160
Author(s):  
Dr. Pradyot Basak ◽  
Dr. Rajib Debnath ◽  
Dr. Abhijit Sarkar ◽  
Dr. JM Datta
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Plate Osteosynthesis ◽  
Locking Compression Plate ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Distal Tibial Fractures ◽  
Compression Plate

scholarly journals An evaluation of functional outcome following minimally invasive plate osteosynthesis in fractures of the distal tibia

2017 ◽  
Vol 3 (6) ◽  
pp. 1136
Author(s):  
Yeshwanth Subash ◽  
Prabhu Manickam S. ◽  
Ravikrishna R. ◽  
Priyadarshini S. ◽  
Gunalan K. Naidu
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Treatment Option ◽  
Plate Osteosynthesis ◽  
Distal Tibia ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Distal Tibial Fractures ◽  
Superficial Skin ◽  
Mean Time

<p class="abstract"><strong>Background:</strong> Management of fractures of the distal tibia remains a challenging proposition due to the fact that the major part of the bone is in a subcutaneous location and the blood supply is quite precarious. Conventional forms of osteosynthesis are associated with high rates of infection and nonunion. Due to extensive soft tissue stripping, the vascularity is compromised and often results in poor wound healing and tends to compromise fracture healing as well. Closed reduction with minimally invasive plate osteosynthesis (MIPO) addresses these issues and has emerged as a viable treatment option with minimal complications. The aim of this study was to assess the functional outcome MIPO using locking compression plates (LCP).</p><p class="abstract"><strong>Methods:</strong> 32 patients with distal tibial fractures treated by MIPO technique with LCP fixation were studied from January 2012 to January 2014 and were followed up for a period of 2 years.<strong></strong></p><p class="abstract"><strong>Results:</strong> All the fractures in our series united well at the end of 6 months with mean time to radiological evidence of callus formation at 10 weeks and the mean time to fracture union was 20 weeks. There were 2 cases with varus angulation in our series and no cases with implant failure. There were 3 patients with superficial skin infections and no cases of deep infection.</p><p><strong>Conclusions:</strong> We conclude that MIPO with LCP is an effective treatment option for distal tibial fractures avoiding all the complications associated with other forms of internal fixation. We strongly recommend its usage in these types of complex injuries.</p>

scholarly journals Evaluation of functional outcome of distal tibial fractures stabilized with distal tibial locking plate

2020 ◽  
Vol 7 (1) ◽  
pp. 39
Author(s):  
Naveen Kumar ◽  
Manoj Thakur ◽  
Sandeep Kashyap
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Plate Osteosynthesis ◽  
Open Reduction Internal Fixation ◽  
Tibial Fractures ◽  
P Value ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Distal Tibial Fractures

<p class="abstract"><strong>Background:</strong> The present study is an attempt to evaluate the results of locking compression plate for distal tibia in lower tibial fractures using open reduction internal fixation and minimally invasive plate osteosynthesis technique.</p><p class="abstract"><strong>Methods: </strong>Prospective and retrospective study was conduct on patients attending the outpatient department (OPD)/Emergency OPD in Indira Gandhi Medical College, Shimla during September 2015 to August 2016 with distal tibial fractures. The patients treated with locking compression plates using minimally invasive plate osteosynthesis (MIPO) or open reduction internal fixation (ORIF) are reviewed for inclusion and exclusion criteria. All data were collected and analyzed by Epi-info software.</p><p class="abstract"><strong>Results: </strong>Out of 52 patients, 48.4% patients undergo open reduction internal fixation had excellent results and 28.6% patients undergo surgery by MIPPO technique had excellent results. p value is 0.352 which is not significant. Overall, 40.4% patients had excellent results. In our study, 32.6% patients having AO/OTA type A fractures had excellent score while type B and C had 1.9% excellent score. This is attributed to more comminution and involvement of ankle joint. Overall, 40.4% patients had excellent score. P value is 0.863 which is insignificant.</p><p class="abstract"><strong>Conclusions: </strong>We observed excellent/ good functional outcome in 65.3% of patients.</p>

scholarly journals Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Lower Extremities

2007 ◽  
Vol 56 (2) ◽  
pp. 202-206
Author(s):  
Akihisa Yamashita ◽  
Kenzo Shirasawa ◽  
Hidehiko Kido ◽  
Manabu Irie ◽  
Junya Ogata ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Lower Extremities ◽  
Locking Compression Plate ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Compression Plate

Anatomically Percutaneous Wiring Reduction in Minimally Invasive Plate Osteosynthesis for Distal Tibial Fractures

2011 ◽  
Vol 24 (3) ◽  
pp. 230
Author(s):  
Young-Mo Kim ◽  
Chan Kang ◽  
Deuk-Soo Hwang ◽  
Yong-Bum Joo ◽  
Woo-Yong Lee ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Distal Tibial Fractures

scholarly journals Outcome of minimally invasive plate osteosynthesis in distal tibial fractures

2017 ◽  
Vol 17 (2) ◽  
pp. 18-22
Author(s):  
Nabees Man Singh Pradhan ◽  
JA Khan ◽  
B Acharya ◽  
S Shrestha ◽  
R Tamrakar ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Plate Osteosynthesis ◽  
Distal Tibia ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Type I ◽  
Distal Tibial Fractures ◽  
Non Union ◽  
The Mean

Introduction: Distal tibial fractures present as a major challenge for the orthopedic trauma surgeons. Most non-operative treatments result in non-union or malunion and needs prolonged immobilization of the knee and ankle joints, with resulting stiffness. Open reduction and internal fixation as well as external fixation has high rate of infection and non-union. Minimally Invasive Plate Osteosynthesis has been shown to have a better outcome and has been the procedure of choice in most distal tibial fractures since the introduction of the locking compression plate. The objective of the study is to review the outcome of Minimally Invasive Percutaneous Osteosynthesis (MIPO) in unstable distal tibial fractures.Methods: Charts of patients who underwent MIPO from the year 2008 to 2013 for unstable distal tibial fractures over five years at Patan Hospital and Om Hospital were reviewed. All displaced closed fractures and Gustillo Anderson Type I and II fractures were included in the study. Plates consisted of the anatomically contoured 4.5 mm LCP and 3.5 mm LCP-Pilon form plate. A simple uniplanar external fixator was used to retain the reduction till the plate was inserted and secured with locking screws. The outcome of MIPO in distal tibial fractures were followed up and evaluated.  Clinical and radiological assessments were performed at 6 weeks, and at 3, 6, 9, 12 and 24 months.Results: Of the 75 patients (45 male, 30 female) age ranging from 19 to 70 years (mean 47 years), 5 patients were lost to follow-up. 28 patients at 3 months, 32 at 6 months, and 8 at 9 months met the criteria for a healed fracture. Two patients required autologous bone grafting at 9 months for non-union ultimately resulting in the fracture union at 16 months. There was one malunion attributable to the loss of reduction during plate fixation. There were no deep infections, no soft tissue complications and no failures of fixation. The cause of fracture were RTA (n=35), fall from height (n=9), twisting of ankle as a result of fall from standing height (n=22), and others (n=11). The mean time for surgery from the time of injury was 5 (range, 2 to 14) days; the mean hospital stay was 10 (range, 7 to 21) days.Conclusion: MIPO is an effective treatment for closed, unstable fractures of the distal tibia, avoiding the complications associated with more traditional methods of internal fixation and/or external fixation.Journal of Society of Surgeons of NepalVol. 17, No. 2, 2014, Page: 7-11

Minimally Invasive Plate Osteosynthesis for Comminuted Fractures of the Metaphysis of the Radius

2005 ◽  
Vol 30 (2) ◽  
pp. 220-225 ◽  
Author(s):  
J. IMATANI ◽  
T. NODA ◽  
Y. MORITO ◽  
T. SATO ◽  
H. HASHIZUME ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Locking Compression Plate ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Pronator Quadratus ◽  
Radial Inclination ◽  
Loss Of Reduction ◽  
Compression Plate ◽  
Comminuted Fractures

Five comminuted and displaced fractures of the distal metaphysis of the radius were treated by a technique of minimally invasive plate osteosynthesis (MIPO) with the aim of minimizing soft tissue damage and devascularization of the fracture fragments. This technique used the small AO T-shaped locking compression plate (AO LCP T-plate) and left the pronator quadratus intact. Radial inclination, palmar tilt, and ulnar variance were restored without loss of reduction in all five cases and the fractures healed at an average of 10 weeks, with good to excellent clinical outcomes.

scholarly journals Minimally Invasive Plate Osteosynthesis for Distal Tibial Fractures

2014 ◽  
Vol 22 (3) ◽  
pp. 299-303 ◽  
Author(s):  
Pramod Devkota ◽  
Javed A Khan ◽  
Suman K Shrestha ◽  
Balakrishnan M Acharya ◽  
Nabeesman S Pradhan ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Distal Tibial Fractures
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