Fracture Stabilization of Proximal Tibial Fractures with the Proximal Tibial LISS: Early Experience in Birmingham, Alabama (USA)

Stannard, James P.; Wilson, Timothy C.; Volgas, David A.; Alonso, Jorge E.

doi:10.1016/s0020-1383(03)00256-0

Cited by 90 publications

(52 citation statements)

References 24 publications

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“…The patients with fracture in our study occurred between the ages of 18 to 65 years with maximum incidence involving the productive age group of 35-60 years (82.5%). This was in accordance with studies by Cole PA et al [7] Ricci et al [8] and Stannard et al [9] who found majority of patients age with an average of 45, 53 and 38 years respectively. Among modes of injury road traffic accidents are the most common (65%) with more (57.5%) fractures on right side.…”

Section: Discussionsupporting

confidence: 92%

Surgical management of patients with tibial plateau fracture using minimally invasive technique with locking compression plate retrospective study

Kl¹,

Cn²

2017

Int. J. Orthop. Sci.

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Introduction:The following study was conducted to identify the short term clinical and radiological results particularly early complications and healing rate of tibial plateau fracture treated with LCP using MIPPO. Materials and Methods: The study was conducted in patients treated for tibial plateau fracture (type 1 to 4 schatzker's classification) at Mandya Institute of Medical Sciences, Mandya from month of Nov 2015 to Oct 2017. Forty tibial plateau fracture patients were fixed with LCP using MIPPO technique of schatzker's type 1 to 4 in this study. Patients' age ranged from 18 to 65 years. Results: The sample consisted forty patients, 31 were males and 09 females. The patients' ages ranged from 18-65 years with mean age of 41.5 years. The causes of fractures were motor vehicle accident in 26 patients, self-fall in 11 and fall from height in 03 patients. 26 fractures involved the right side and 14 involved the left. The average hospitalization was 15 days with a range of 10 to 20 days. The average number of days from injury to surgery was 5 days with a range of 02 to 07 days. Functional outcome was rated as per NEER'S RATING SCORE, we got excellent results in 14 cases, good in 15, fair in 08 and poor in 03 patients. Conclusion:The tibial plateau fracture fixation with LCP using MIPPO technique provides accurate positioning and fixation. We recommend use of this implant in Schatzker's Type 1, 2, 3, 4 and osteoporotic fractures with satisfactory results. In our study, we found excellent results in type 1-4 Schatzker's and osteoporotic fractures, however, long term studies are needed to prove definitively acceptable outcomes so that this technique can become part in the armamentarium of the orthopedic trauma surgeon.

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Section: Discussionsupporting

confidence: 92%

Surgical management of patients with tibial plateau fracture using minimally invasive technique with locking compression plate retrospective study

Kl¹,

Cn²

2017

Int. J. Orthop. Sci.

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“…This was in accordance with a study by P.A Cole et al in 2004 who also found the majority of patients in productive age with an average of 45 years, and with the study of Ricci and Stannard with average of 53 years and 38 years respectively. [15][16][17] In another Indian study by Sharma et al, similar results were found where RTA was the most common cause of fractures. 18 This is due to the high probability of injuries occurring in this age group due to RTA.…”

Section: Discussionsupporting

confidence: 63%

Outcome of treatment of proximal tibial plateau fractures by minimally invasive percutaneous plating osteosynthesis technique

et al. 2016

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Background: Fractures of the proximal tibia are accompanied by a wide range of severity which may include stable undisplaced fractures with minimal soft tissue injury to highly comminuted unstable fractures, and severe soft tissue involvement. With the better understanding of fracture healing biology and biomechanics of fracture fixation and healing, the trend of treatment is towards biological fixation, which can be accomplished by Minimally Invasive Percutaneous Plating Osteosynthesis (MIPPO) technique.Methods: Demographic data of patients were recorded on admission and thorough history and clinical examination was done. The fractures were assessed for soft tissue injuries and followed by radiological assessment of fracture with schatzkers classification. The surgeries included anterolateral and anteromedial approaches for all patients with ‘inverted hockey stick incision’ and were treated with MIPPO. They were regularly followed up at 6-8 weeks interval till complete fracture union. A clinical and radiological evaluation was carried out using the modified Rasmussen clinical and radiological criteria.Results: Out of the 20 patients treated, most of them were males and belonged to the age group of 20-40 years (75%). Unilateral fractures were more common than bilateral fractures and were of the type 4 and type 5 of Schatzkers classification which was usually associated with high velocity RTA. One patient each had infection, varus deformity and knee joint stiffness. 10 fractures gave excellent result, 7 fractures healed with good results. Only 2 of the patients showed fair results and 1 had poor result. Conclusions: All the fractures treated with MIPPO technique was found to be rapidly healing by secondary fracture union and hence achieving strong bone union across the fracture site due to inherent benefits of less tissue damage and minimal disturbance of fracture site biology.

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“…Bridging plates are used more often in diaphyseal fractures that compromise the proximal and distal ends of the tibia [11][12][13][14][15] ; however, in this study this aspect was not considered, since patients were randomly allocated. The placement of the plate on the anterior-medial tibial face is technically easier and leads to less compromise of its vascularization.…”

Section: Discussionmentioning

confidence: 99%

Comparative Multicenter Study of Treatment of Multi-Fragmented Tibial Diaphyseal Fractures With Nonreamed Interlocking Nails and With Bridging Plates

Fernandes

Silva

Reis

et al. 2006

Clinics

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OBJECTIVE: A prospective, randomized study to compare patients with closed, multi-fragmented tibial diaphyseal fractures treated using one of two fixation methods undertaken during minimally invasive surgery: nonreamed interlocking intramedullary nails or bridging plates. MATERIALS AND METHODS: Forty-five patients were studied; 22 patients were treated with bridging plates, 23 with interlocking nails without reaming. All fractures were Type B and C (according to the AO classification). RESULTS: Clinical and radiographic healing occurred in all cases. No cases of infection occurred. The healing time for patients who received nails was longer (4.32 weeks on average) than the healing time for those who received plates (P = 0.026). No significant differences were observed between the two methods regarding ankle mobility for patients in the two groups. CONCLUSIONS: The healing time was shorter with the bridging plate technique, although no significant functional differences were found.

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Fracture Stabilization of Proximal Tibial Fractures with the Proximal Tibial LISS: Early Experience in Birmingham, Alabama (USA)

Cited by 90 publications

References 24 publications

Surgical management of patients with tibial plateau fracture using minimally invasive technique with locking compression plate retrospective study

Surgical management of patients with tibial plateau fracture using minimally invasive technique with locking compression plate retrospective study

Outcome of treatment of proximal tibial plateau fractures by minimally invasive percutaneous plating osteosynthesis technique

Comparative Multicenter Study of Treatment of Multi-Fragmented Tibial Diaphyseal Fractures With Nonreamed Interlocking Nails and With Bridging Plates

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