A prospective study of distal 1/3rd tibia fracture treated using locking compression plate by minimally invasive percutaneous plate osteosynthesis technique
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20203713Keywords:
Distal tibia fracture, Locking compression plate, Minimally invasive percutaneous plate osteosynthesis technique, Olerud and molander scoring system, Range of motionAbstract
Background: Distal tibia fractures are common and represent 6-8% of all lower limb fractures treated by an orthopaedic surgeon. Anatomical reduction with good fracture stability and minimal soft tissue dissection give good functional results. Locking compression plate combined with minimally invasive percutaneous plate osteosynthesis (MIPPO) technique has yielded good results. In this prospective study, authors studied 30 patients treated with LCP using MIPPO technique to know the functional outcome.
Methods: A total 30 patients were studied in this technique, which include both male and females of different age groups treated with LCP using MIPPO technique. All the patients were followed up for 12 months between March 2018 to March 2019 in orthopaedic department. The functional and radiological outcomes were assessed.
Results: A total 30 patients both male and females were studied with age groups between 18 to 65 years. Average follow-up was 12 months using Olerud and Molander scoring system authors had excellent results in 16 patients (54%), good in 9 patients (30%), fair in 4 patients (12%) and poor outcome in 1 patient (4%).
Conclusions: Surgery with locking compression plate along active physiotherapy proved to be better for distal tibia fractures.
References
Collinge C, Kuper M, Larson K, Protzman R. Minimally invasive plating of high-energy metaphyseal distal tibia fractures. J Orthop Trauma. 2007;21(6):355-61.
Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H. Minimally invasive plate osteosynthesis and vascularity: preliminary results of a cadaver injection study. Injury. 1997;28(Suppl 1):A7-A12.
Janssen KW, Biert J, Kampen A. Treatment of distal tibial fractures: plate versus nail: a retrospective outcome analysis of matched pairs of patients. Int Orthop. 2007;31:709-14.
Hasenboehler E, Rikli D, Babst R. Locking compression plate with minimally invasive plate osteosynthesis in diaphyseal and distal tibial fracture: a retrospective study of 32 patients. Injury. 2007;38:365-370.
Ronga M, Shanmugam C, Longo UG, Oliva F, Maffuli N. Minimally invasive osteosynthesis of distal tibia fracture using locking plates. Orthop Clin North Am. 2009;40(4):499-504.
Casstevens C, Le T, Archdeacon MT, Wyrick JD. Management of extraarticular fractures of the distal tibia: intramedullary nailing versus plate fixation. J Am Acad Orthop Surg. 2012;20(11):675-83.
Egol KA, Kubiak EN, Fulkerson E, Kummer FJ, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma. 2004;18:488-93.
Gao H, Zhang CQ, Luo CF, Zhou ZB, Zeng BF. Fractures of the distal tibia treated with polyaxial locking plating. Clinical Orthopaed Related Res. 2009;467(3):831.
Martin JS, Marsh JL, Bonar SK, De Coster TA, Found EM. Assessment of the AO/ASIF fracture classification for the distal tibia. J Orthop Trauma. 1997;11:477-83.
Olerud C, Molander H. Scoring scale for symptom evalution after ankle fracture. Arch Orthop Trauma Surg. 1984;103(3)190-4.
George W, Wood II. General principles of fracture treatment. Terry Canale in Campbell's Operation Orthopaedics, 10th edition, St. Louis, Mosby; 2000:2671.
Helfet DL, Shonnard PY, Levine D, Borrelli J. Minimally invasive plate osteosynthesis of distal fractures of the tibia. Injury. 1999;28:S-A42-S-A48.
Mushtaq A, Shahid R, Asif M, Maqsood M. Distal tibial fracture fixation with locking compression plate (LCP) using the minimally invasive percutaneous osteosynthesis (MIPO) technique. European J Trauma Emerg Surg. 2009;35(2):159-64.
Teeny S, Wiss DA, Hathaway R. Tibial plafond fractures, errors, complication and pitfalls in operative treatment. Orthop Trans. 1990;14:265.
Dillin L, Slabaugh P. Delayed wound healing, infection, and non union following open reduction and internal fixation of tibial plafond fractures. J Trauma. 1986;26:1116-9.
Bahari S, Lenehan B, Khan H, Mcelwain JP. Minimally invasive percutaneous plate fixation of distal tibia fractures. Acta Orthop Belg. 2007;73:635-40.
Vassilios S. MIPPO. An Update Current Orthopaedics. 2008;22(3):202-782.
Deepak K, Ganesan GR, Phagal VV. Minimally invasive plate versus intramedullary interlocking nailing in distal third tibia fractures. J Dent Med Sci. 2014;3:15-7.
Grose A, Garden MJ. Open reduction and internal fixation of tibial pilon fractures using a lateral approach. J Orhop Trauma. 2007;21:530-7.
Cory C, Protzman R. Outcomes of minimally invasive plate osteosynthesis for metaphyseal distal tibial fractures. J. Orthop Trauma. 2010:24:24-9.