Published 20-09-2021
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This work is licensed under a Creative Commons Attribution 4.0 International License.
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Abstract
Distal tibial fractures are considered as one the most difficult fractures to treat in orthopedic surgery because of the limited soft tissue, the subcutaneous location, and poor vascularity. classic open reduction and internal plate fixation requires extensive soft tissue dissection and periosteal stripping produce high rates of infection, delayed union and nonunion. In distal tibial comminuted fracture LCP fixation relies on the principle of minimally invasive locking plate Osteosynthesis (MIPO). Thus by maintaining fracture biology improves callus formation and bone healing. To assess the success of Minimally Invasive Locking plate Osteosynthesis (MIPO). This prospective interventional study was over a period of two years between July 2012 to June 2014-in the dept. of Orthopedics and Traumatology, DMCH. In this study, 11 patients of distal tibial fracture were selected during study period. In this study, the age of the patients was between 21-61 years, mean age being 40 years. Male-female ration was 8:3. Most (54.55%) of the patients were affected on the right side. The outcome of distal tibial fracture treated by Minimally Invasive Locking Plate Osteosynthesis (MIPO) demonstrated excellent to good result in majority of the cases.
References
- Hazarika S, Chakravarthy J and Cooper J, 2006. Minimally invasive locking plate osteosynthesis for fractures of the distal tibia-results in 20 patients. Injury.;37,877-87.
- Julio J Masqueij, 2014. Percutaneous plating of distal tibial fractures in children and adolescents. Journal of pediatric orthopaedics:2, 66.
- Manuel Pellegrinina, b, Natalio Cuchacovicha, Leonardo Lagosa, Hugo Henriqueza, Giovanni Carcuroa and Christian Bastiasa2,012,. Minimallyinvasive alternatives in the treatment of distal articular tibial fractures Fub & Sprunggelenk, 10,37-45
- Janssen KW, Biert J and van Kanipen A, 2007. Treatment of distal tibial fractures: plate versus nail: a retrospective outcome analysis of matched pairs of patients. int orthop:,31,709-15.
- Egol KA, Kubiak EN, Fulkerson E, Kummer FJ and Koval KJ, 2004. Biomechanics of locked plates and screws. Journal of Orthopaedic Trauma.: 18,488-94.
- Francois J, Vandeputte G, Verheyden F and Nelen G, 2004. Percutaneous plate fixation of fractures of the distal tibia. Acta Orthop Beig.; 70,148-5
- Hasenboehier E, Rikli D and Babst R, 2007. Locking compression plate with minimally invasive plate osteosynthesis in diaphyseal and distal tibial fracture: a retrospective study of 32 patients. Injury.; 38.365-70.
- Sukeik M, Maru M and Lennox C, 2010. Minimally invasive plate osteosynthesis of distal tibial fractures: A Multricentred R eview. J. Orthopaedics.;7,7.
- Drosos G, Karnezis IA, Bishay M and Miles AW, 2001. Initial rotatonal stability of distal tibial fractures nailed without proximal locking: the importance of fracture type and degree of cortical contact. Injury.;32,137-43.
- Mario R, Umile GL and Maffulli N,2009. Minimally invasive locked plating of distal tibial fractures is safe and effective. Ortho., 468,975-83.
- Borg T, Larsson S. and Lmdsjo U,2004. Percutaneous plating of distal tibial fractures. Preliminary results in 21 patients. njury.;35,608-14.
- Khoury A, Liebergall M, London E and Mosheiff R, 2002. Percutaneous plating of distal tibial fractures. Foot Ankl Int.;23,818-24.
- Perren SM,2002. Evolution of the internal fixation of long bone fractures: The scientificbasis of biological internal fixation: choosing a new balance between stability and biology. J Bone Joint Surg Br.;84,1093-1110.
