Staged Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures.
10.12671/jkfs.2010.23.3.289
- Author:
Sung Ki PARK
1
;
Chang Wug OH
;
Jong Keon OH
;
Kyung Hoon KIM
;
Woo Kie MIN
;
Byung Chul PARK
;
Won Ju JEONG
;
Joo Chul IHN
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea. cwoh@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Distal tibial fracture;
External fixation;
Minimally invasive plate osteosynthesis
- MeSH:
Animals;
Ankle;
Follow-Up Studies;
Foot;
Fractures, Open;
Hammer Toe Syndrome;
Humans;
Orthopedics;
Peroneal Neuropathies;
Tibial Fractures;
Transplants
- From:Journal of the Korean Fracture Society
2010;23(3):289-295
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To assess the result of staged minimally invasive plate osteosynthesis (MIPO) for distal tibial fracture with an open wound or injured soft tissue. MATERIALS AND METHODS: In 20 patients (mean age, 47.8 year-old) with distal tibial fractures, there were 4 type A fractures and 16 type C fractures based on the AO classification system. Eight of the 20 patients had open fractures. MIPO was performed on average 23.9 days after bridging external fixation. At the final follow-up, we assessed the radiological results of bone union and alignment. Functional results were also evaluated by measuring the degrees of ankle motion and the American Orthopedic Foot & Ankle Society (AOFAS) scores. RESULTS: Seventeen of 20 cases (85%) achieved primary union at an average of 21.3 weeks. There were 3 cases of nonunion requiring a bone graft. The mean AOFAS score was 88.5 (range, 67~92) and the average range of ankle motion was 49.2degrees (plantarflexion: 37.4degrees, dorsiflexion: 11.8degrees). Complication included 2 cases of minor mal-alignment, 1 case of claw toe and 1 case of peroneal neuropathy. Patients over the age of 60 had lower functional results. Additional factors did not affect the final results. CONCLUSION: Staged MIPO may achieve satisfactory results in distal tibial fractures with soft tissue compromise, decreasing deep infections and soft tissue complications.
