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
DOI:
https://doi.org/10.70284/njirm.v9i1.1848Keywords:
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
References
2. Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H: Minimal invasive plate osteosynthesis:does percutaneous plating disrupt the femoral blood supply less than the traditional technique; J.Orthop trauma, 1999 Aug;13(6):401-6.
3. Schatzker J, McBroom R, Bruce D. The tibial plateau fracture. The Toronto experience 1968–1975. Clin OrthopRelat Res. 1979;138:94 –104.
4. Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR. The reliability, valid- ity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med. 2009;37:890-897. http://dx.doi. org/10.1177/0363546508330143
5. Gautier E. 2009. Bridge plating. AO Dialogue2:24–27.
6. CronierP,PietuG,DujardinC,BigorreN,DucellierF,et al. (2010) The concept of locking plates. OrthopTraumatolSurg Res 17–36.
7. KlemmWW,Borner m Interlocking nailing of the complex fracture of the femur and tibia.Clinical orthopedics, Nov;212:89-100. Kyro A, Tunturi T, Soukka A. Conservative treatment of tibial fractures. Result in a series of 163 patients. Ann ChirGynaecol 1991; 80 (3) : 294-300.
8. Nicoll EA. Closed and open management of tibial fractures. Clinical Orthopaedics 1974; 105 : 144.
9. Johner R, Wruhs O. Classification of tibial shaft fractures and correlation with results after rigid internal fixation. Clinical Orthopaedics 1983; 178 : 7.
10. Radziejowski MJ, Winiewski TF. Minimally invasive plating of proximal tibial fractures. JBJS (BR) 1998; 80-B (2) : 164.
11. Vecsi V, Heinz T, The interlocking nail for the long communited and compound fracture of tibia and technique and result IUnfallchirug Nov 1990;93(11),512-8.
12. Pradyumna P PaiRaiturker, AA Salukhe, Minimal invasive plate osteosynthesis (MIPO) in the treatment of multifragmentary fracture of tibia E Journal Jan 2001_4301.
13. Weller S. Biological fracture fixation - What is this? Is it another traumatological fashion or an important aspect of operating technique? IGOF News. 1997; Issue 1.
