Minimally invasive percutaneous plate osteosynthesi for comminuted fracture of metaphyseal tibia

VernacularTitle:微创钢板内固定技术治疗胫骨干骺端粉碎性骨折
Author: Qianlai CAO ; Haitao YANG ; Liangyi WANG ; Mingguang FENG ; Jian WANG
Publication Type:Journal Article
Keywords: Tibia fracture; Fracture fixation,internal; Minimally invasive surgery
From: Chinese Journal of Trauma 2010;26(10):902-904
CountryChina
Language:Chinese
Abstract: Objective To discuss the curative effect of minimally invasive percutaneous plate osteosynthesis (MIPPO) in treatment of comminuted fracture of metaphyseal tibia. Methods The study involved 38 patients with comminuted fracture of metaphyseal tibia treated by indirect reduction and MIPPO. Results All patients were followed up for 10-30 months (average 18.6 months), which showed one stage union in all patients. The time for bony union was 4.2-7.8 months (mean 5.4 months). The operation lasted for 50-130 minutes (average 75 minutes). According to Johner-Wruhs system, the outcome was excellent in 26 patients, good in 10 and fair in two, with satisfactory rate of 95%. Conclusion MIPPO takes advantages of minor trauma, few complication, simple manipulation, high success rate and satisfactory recovery of joint function recovery and bony union, and hence is a safe and effective treatment for comminuted fracture of metaphyseal tibia.