Double Plating of Proximal Tibial Fractures Using Minimally Invasive Percutaneous Osteosynthesis Technique.
10.12671/jkfs.2005.18.3.250
- Author:
Chang Wug OH
1
;
Jong Keon OH
;
In Ho JEON
;
Hee Soo KYUNG
;
Il Hyung PARK
;
Byung Chul PARK
;
Woo Kie MIN
;
Ji Ho LEE
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Kyungpook National University, Daegu, Korea. cwoh@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Double plating;
MIPO technique;
Proximal tibia fracture
- MeSH:
Classification;
Female;
Fracture Healing;
Fractures, Open;
Humans;
Male;
Retrospective Studies;
Tibia;
Tibial Fractures*;
Transplants
- From:Journal of the Korean Fracture Society
2005;18(3):250-255
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: To evaluate the results and its efficacy of double plating for proximal tibial fractures using minimally invasive percutaneous osteosynthesis (MIPO) technique. MATERIAL & METHODS: Twenty-three fractures, followed-up more than 1 year, were included in this retrospective study. There were 18 men and 5 women, and the mean age was 53.5 years-old. According to the AO-OTA classification, five were 41A, 13 were 41C, and 5 were 42. There were four open fractures (grade I- three, grade III A-one case). The plates were fixed on the medial and lateral sides of tibia with MIPO technique. Functional and radiographic results were evaluated by the modified Rasmussen system. RESULTS: All fractures healed without bone graft, and the mean period for fracture healing was 19.3 weeks (range, 10~32 weeks). All other patients had excellent or good clinical or radiological results, except for two patients of a fair clinical result after a combined injury. Complications included one case of shortening (1 cm) and two cases of mal-alignments (varus less than 10 degrees). There was one case of superficial infection, but no patient showed deep infection. CONCLUSION: Double plating using MIPO technique can provide favorable results in the treatment of proximal tibial fractures.
