Study of Results of Minimal Invasive Percutaneous Plate Osteosynthesis in Fracture of Upper Tibia
Study of Results of Minimal Invasive Percutaneous Plate Osteosynthesis in Fracture of Upper Tibia
Keywords:
Minimally invasive plate osteosynthesis,Tegner Lysholm Knee Score, upper tibia fractureAbstract
Introduction: Modern way of living has lead to an increase vehicular accidents and industrial injury. Management of these fractures are challenging. Considerable advances in the methods of internal fixation and newer innovations in implants and operative technique help to meet such challenging tasks.Old concept of AO/ASIF to treat comminuted fractures was by anatomical reduction and absolute stability by plating to produce impressive post operative X-rays. After encountering such problems, a novel concept was developed. In this concept, the fracture hematoma and soft tissue attachment of the comminuted fragments are not disturbed, which preserve the osteogenic capacity and vascularity of the fragments Aims & Objectives: Aim of the study is to analyse and observe retrospectively and prospectively the results of management of fractures of tibial plateau by a novel concept of Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) in respect tooperative technique, clinical and radiological outcome. Method: 30 cases of tibial plateau fractures treated with MIPPO technique were reviewed. Result: 95% of the patients have excellent to good Tegner Lysholm Knee Score without any revision surgery. Complication included 1 superficial wound infection and 1 delayed union. Average radiological union is 16 weeks, which is comparable to clinical union. Conclusion: By this technique we can get very good functional outcome irrespective of type of fracture and without soft tissue injury. After encountering such problems, a novel concept was developed. In this concept, the fracture hematoma and soft tissue attachment of the comminuted fragments are not disturbed, which preserve the osteogenic capacity and vascularity of the fragments
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