Two-staged Delayed Minimally Invasive Percutaneous Plate Osteosynthesis for Distal Tibial Open Fractures.
10.12671/jkfs.2008.21.1.24
- Author:
Jung Hwan YANG
1
;
Seok Hyun KWEON
;
Jeung Woo KIM
;
Jin Young PARK
;
Hyun Jun KIM
;
Chul Min LIM
Author Information
1. Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea. osksh@wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Distal tibia;
Open fracture;
Minimal invasive percutaneous plate osteosynthesis (MIPPO)
- MeSH:
Follow-Up Studies;
Fractures, Open;
Necrosis;
Postoperative Complications;
Skin;
Tibia;
Transplants
- From:Journal of the Korean Fracture Society
2008;21(1):24-30
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the outcomes of distal tibial open fractures treated by two-staged delayed minimally invasive percutaneous plate osteosynthesis (MIPPO) technique. MATERIALS AND METHODS: 25 cases of distal tibial open fractures were treated with temporary ring fixation and two-staged delayed MIPPO. A mean age was 46 years old, follow-up was 23 months. The type of fracture was evaluated using the AO/OTA classification. The type of open fracture was evaluated using the Gustilo-Anderson classification that revealed 6 cases of type I, 9 cases of type II, 8 cases of type IIIA and 2 cases of type IIIB. We analyzed the radiologic results and postoperative complications. The clinical and functional result were evaluated by using Teeny and Wiss scores. RESULTS: The average time of bone union was 18 weeks in 24 cases. There were three delayed union that achieved union twenty weeks after second operation, and 1 case underwent bone graft with additional plate fixation. 6 cases of skin necrosis were treated with skin graft, 2 cases were treated with flap. The clinical and functional assessment showed that 6 cases were excellent, 16 cases were good, 2 cases were fair, and 1 case were poor results. CONCLUSION: Two-staged MIPPO technique for distal tibia open fractures seems to be a good procedure to obtain bone union.
