Minimally Invasive Plate Osteosynthesis with Conventional Compression Plate for Diaphyseal Tibia Fracture
- Author:
IM Anuar-Ramdhan
;
IM Azahari
- Publication Type:Case Reports
- Keywords:
Diaphyseal tibia fracture;
conventional compression plate;
minimally invasive plate osteosynthesis
- MeSH:
Surgical Fixation Devices;
Tibial Fractures
- From:Malaysian Orthopaedic Journal
2014;8(3):33-36
- CountryMalaysia
- Language:English
-
Abstract:
The diaphyseal tibia fracture is best treated with
intramedullary nail but in some cases where the nail is not
applicable, plate fixation will be the next option of fixation.
The extensile anterior approach is normally used for
conventional compression plate fixation in tibia shaft
fractures. The extensive surgical dissection may devitalizes
the bony fragments and interfere with the fracture union as
well as soft tissue healing. Minimally Invasive Plate
Osteosynthesis (MIPO) provides good preservation of blood
supply and fracture hematoma at the fracture site thus
promotes biological bone healing. The use of indirect
reduction techniques and small skin incisions to introduce
the plate is technically demanding and requires fluoroscopy
exposures throughout the surgery, being some of its
drawbacks. We recommend MIPO for conventional
compression plate fixation in tibial shaft fractures in view of
the reduced surgical trauma to the surrounding soft tissue
and good functional outcome.
- Full text:P020150526303471691794.pdf
