Article Sidebar
Views pdf: 33
MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS SURGERY TREATMENT FOR TIBIAL PLATEAU FRACTURE
Main Article Content
Abstract
Introduction: Minimally invasive screw lock bone graft surgery (MIPO) is an appropriate technique to treat tibial plateau fractures with many advantages to improve function and reduce complication rate compared to surgery. Classic open surgery. Subjects and methods: A retrospective and prospective descriptive study with 50 patients undergoing MIPO surgery from January 2020 to January 2022. In which: 2 cases of grade III fracture, 6 cases of grade IV fracture, 15 cases of grade V fracture and 27 cases of grade VI fracture according to the Schatzker classification. The mean follow-up time was 14.46 months. Results and discussion: 100% of patients healed bone; 82% of patients with knee flexion >125º, 96% of patients with knee extension <0º. Average Roy-Sander score is 38.54; with 44/50 patients with good results. No complications of infection, stiffness of the knee or fracture of the screw splint were recorded. Conclusion: MIPO surgery brings positive results, with many advantages, is a good choice in the treatment of tibial plateau fracture.
Article Details
Keywords
MIPO, tibial plateau fracture, Schartzker
References
2. Minimally-invasive plate osteosynthesis in distal tibial fractures: Results and complications. Dinko Vidović, Aljoša Matejčić, Mihovil Ivica, Darko Jurišić, Esmat Elabjer, Bore Bakota. DOI: 10.1016/j. injury.2015.10.067.
3. RakeshK.Gupta, RajeshKumarRohilla, KapilSangwan, VijendraSingh, Saurav Walia (2010), "Locking plate fixation in distal metaphyseal tibial fractures: series of 79 patients", Int Orthop. 34(8), pp. 85-90.
4. Yong Zang, De – Gang Fan, Bao – An, Si – Gio Sun (2012). Treatment of complicated tibial plateau fractures with dual plating via a 2 incision technique. Orthopaedics, 35(3). e359 – e364.
5. Tan N Nikolaou V.S (2011). Proximal tibial fracture: early experience using polyaxial locking – plate technology. International Orthopaedics, 35, 1215 – 1221.
6. Comparison study of two surgical options for distal tibia fracture-minimally invasive plate osteosynthesis vs. open reduction and internal fixation. Cheng W1, Li Y, Manyi W. International Orthopaedics, 02 Jun 2010, 35(5):737-742.
7. Minimally invasive plate osteosynthesis for tibial plateau fractures. Hasnain Raza, Pervaiz Hashmi, Kashif Abbas, Kamran Hafeez. Journal of Orthopaedic Surgery 2012;20(1):42-7
8. David J. Jacofsky Joshua R. Langford, George J. Haidukewych (2012). Tibial plateau fractures. Surgery of the knee, 5th ed, Published in assiociation with the knee society. Chap 81. 773 – 785.