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2021, Vol. 5 Issue 1, Part A
Management of distal tibia fractures with MIPPO
Author(s): Dr. Ajeet Hundekar and Dr. Santosh Mared
Abstract: Background and Objective: Our objective was to evaluate clinical results and outcomes of metaphyseal lower third tibia using locking compression plate by minimally invasive percutaneous plate osteosynthesis (MIPPO) technique and open reduction technique. Minimally invasive medial plating will restore limb alignment and yield successful clinical outcomes for high-energy metaphyseal fractures of the distal tibia. Despite the significant reoperation rate and prolonged time to union, most patients can expect a predictable return of function. Strong consideration should be given to adjunctive measures in at–risk patients, including those with highly comminuted fracture patterns, bone loss, or Type II or III open fractures.
Materials and Methods: Adult patients with fractures of lower third tibia admitted to Belgavi institute of medical sciences (BIMS) will be taken for this study after obtaining their informed, valid written consent. This is a prospective observational study from July 2019 to September 2019.
Results: Twenty-three patients were followed an average of 12 months (range 6-20 months) with mean fracture healing time was 16 weeks (12-60 weeks). One patient had delayed union which took 20 weeks. Two patients developed superficial infection but fractures united completely.
Interpretation/Conclusion: This technique has resulted in effective stabilization of lower third tibial fractures. It does provide adequate stability and allows early motion. Open reduction not only helps in achieving reduction in difficult situation but also in rapid union because it facilitates preservation of blood supply to the fragment and anatomical reduction of fracture with greatest advantage being fracture hematoma is not disturbed. This technique is effective in extra articular fractures occurring within 5cm of joint were intramedullary nails offend don’t provide stability.
Pages: 16-21 | 786 Views 88 Downloads
How to cite this article:
Dr. Ajeet Hundekar, Dr. Santosh Mared. Management of distal tibia fractures with MIPPO. Nat J Clin Orthop 2021;5(1):16-21 DOI: https://doi.org/10.33545/orthor.2021.v5.i1a.253
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- ISSN (P): 2521-3466
- ISSN (E): 2521-3474
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