Double plating of unstable proximal tibial fractures using minimally invasive percutaneous osteosynthesis technique

Oh, Chang Wug; Oh, Jong Keon; Kyung, Hee-Soo; Park, Byung Chul; Min, Woo‐Kie; Kim, Poong Taek

doi:10.1080/17453670610012548

Cited by 52 publications

(40 citation statements)

References 20 publications

(19 reference statements)

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“…15 90% of our patients achieved acceptable functional outcome, which was comparable to other studies reporting 64% 26 to 91%. 25 In our study, 3 of the 4 patients with unacceptable functional outcome were aged ≥60 years. Elderly patients usually have underlying degenerative changes in the joints that is aggravated after intra-articular fractures; age is a main predictor of functional outcome.…”

Section: Resultsmentioning

confidence: 99%

“…The mean operating time was 113 (SD, 28; range, 65-180) minutes; the mean length of hospital stay was 3.8 (SD, 1.5; range, 2-7) days; the mean Rasmussen anatomic score was 15.1 (SD, 2.2; range, 10-18); the mean Rasmussen functional score was 25.3 (SD, 3.2; range, [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]; and the mean range of knee motion was 118º (SD, 10º; range, 90º-140º) [ Tables 1 and 2]. Anatomic outcome was excellent in 10, good in 28, and unacceptable in 3 patients (one each had Schatzker type-I, -II, and -III fractures).…”

Section: Resultsmentioning

confidence: 99%

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Minimally Invasive Plate Osteosynthesis for Tibial Plateau Fractures

Raza

Hashmi

Abbas

et al. 2012

J Orthop Surg (Hong Kong)

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purpose. To evaluate radiological and clinical outcome of minimally invasive plate osteosynthesis (MIPO) for tibial plateau fractures. Methods. 35 men and 6 women aged 19 to 75 (mean, 40; standard deviation [SD], 14) years underwent MIPO for displaced tibial plateau fractures. According to the Schatzker system, the tibial plateau fractures were classified as types I (n=3), II (n=9), III (n=11), IV (n=6), V (n=7), and VI (n=5). Six patients had open fractures; 2 of them underwent debridement before MIPO. 10 patients needed additional bone grafting. Radiological (at immediate postoperation) and clinical (at the 12-month follow-up) assessments based on the Rasmussen anatomic and functional scoring system were recorded using a proforma. Patients with acceptable and unacceptable outcomes were compared in terms of age. results. The mean Rasmussen anatomic score was 15.1 (SD, 2.2; range, 10-18); the mean Rasmussen functional score was 25.3 (SD, 3.2; range, 14-29); and

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Minimally Invasive Plate Osteosynthesis for Tibial Plateau Fractures

Raza

Hashmi

Abbas

et al. 2012

J Orthop Surg (Hong Kong)

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“…Minimally invasive plate osteosynthesis also offers advantage in Bicolumn plating for bicondylar tibial plateau fractures [21][22][23] . Usually in conventional methods, bicolumn plating involves two separate incisions which can lead to extensive damage to soft tissues, periosteum and sometimes the viability of the skin and soft tissues in between the incisions can be affected leading to postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Short term outcome analysis of proximal tibia fractures treated with minimally invasive plate osteosynthesis

Saravanan¹,

Muthu²,

Thangaraj³

2018

Int. J. Orthop. Sci.

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“…If the open wound is on the lateral side of the tibia, it is thought to be difficult to perform primary MIPO. 6 During high proximal tibial fractures, it is often difficult to secure 3 or more screws with a lateral plate. This may limit immediate knee motion and early weight bearing and may results in late angular deformity.…”

Section: Introductionmentioning

confidence: 99%

A prospective study to analyse the outcome of locking compression plating by minimally invasive percutaneous plate osteosynthesis technique in proximal tibial fractures

Reddy

Redy

2018

Int J Res Orthop

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Background: The proximal tibial fractures are one of the commonest intra articular fractures majority are of high energy fractures. We did the study to measure the outcome of locking compression plating by minimally invasive percutaeneous plate osteosynthesis technique in proximal tibial fractures.Methods: Study comprises 20 cases of proximal tibial fractures, which have been managed by MIPPO technique during the period December 2014 to August 2016.Results: The sex distribution in our study was 18 males and 2 females with 30 to 57 years age. The most common mode of injury in this study was road traffic accident. Type V Schatzker tibial plateau fractures were the commonest in 8 patients. 70% of our patients had excellent and good results in the functional outcome. In our study the average functional knee score was 22.40. The average range of movement achieved was 120 degrees. The average time taken for fracture healing was 16.52 weeks. In conclusion, MIPPO technique gives good to excellent results even in high energy tibial condyle fractures (70% cases in our study). Those who were treated with early fixation and early mobilization were found to have a better functional outcome irrespective of the fracture type. No secondary bone grafting was required.Conclusions: The study reports that MIPPO technique is an effective method of treating proximal tibial fractures due to its overall good functional outcome.

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Double plating of unstable proximal tibial fractures using minimally invasive percutaneous osteosynthesis technique

Abstract: Background

Cited by 52 publications

References 20 publications

Minimally Invasive Plate Osteosynthesis for Tibial Plateau Fractures

Minimally Invasive Plate Osteosynthesis for Tibial Plateau Fractures

Short term outcome analysis of proximal tibia fractures treated with minimally invasive plate osteosynthesis

A prospective study to analyse the outcome of locking compression plating by minimally invasive percutaneous plate osteosynthesis technique in proximal tibial fractures

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