Minimally Invasive Percutaneous Plate Osteosynthesis Using a Lateral Plate in Distal Tibial Fracture.
10.12671/jkfs.2010.23.1.42
- Author:
Oog Jin SHON
1
;
Dae Sung KIM
Author Information
1. Department of Orthopaedic Surgery, Yeungnam University College of Medicine, Daegu, Korea. min1913@hanmail.net
- Publication Type:Original Article
- Keywords:
Distal tibial fracture;
Minimally invasive percutaneous plate osteosynthesis (MIPPO);
Lateral plate
- MeSH:
Animals;
Ankle;
Congenital Abnormalities;
Follow-Up Studies;
Humans;
Iowa;
Tibial Fractures
- From:Journal of the Korean Fracture Society
2010;23(1):42-49
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy of minimally invasive percutaneous plate osteosynthesis (MIPPO) using a lateral plate (Zimmer, Periarticular Lateral Distal Tibial Plates, USA) in distal tibial fracture within 3 cm to plafond, associated with medial soft tissue damage. MATERIALS AND METHODS: From January 2005 to December 2007, 15 patients with distal tibial fracture treated by MIPPO technique using a lateral plate were analyzed. The duration of follow-up was more than 1 year. We evaluated union time by simple X-ray, clinical results by IOWA ankle rating system, and complication. RESULTS: The bone union was achieved in all cases at average 16.7 weeks. Evaluation of the ankle function test showed an average of 90.3 points, resulting in satisfactory. At the last follow-up, there was no non-union, angular deformity more than 5 degrees or infection. CONCLUSION: We concluded that MIPPO technique using a lateral plate is a efficient method for high functional recovery with good bone healing and low complication in distal tibial fracture within 3 cm to plafond, associated with medial soft tissue damage.
