Less invasive stabilization system for the management of proximal tibia fractures

Devkota, Pramod; Manandhar, Hemanta K.; Khadka, Padam B; Mainali, Laxmi P; Khan, Javed; Acharya, Balakrishnan M; Pradhan, Nabeesman S.; Shrestha, Suman Kumar

doi:10.1007/s00590-013-1365-0

Cited by 7 publications

(5 citation statements)

References 17 publications

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“…The patients were separated into two groups according to the date marked for the change of treatment approach in our clinic; therefore, it was not possible to have a matched distribution of Schatzker classification subtypes. In addition, Schatzker type-V and type-VI TPFs are associated with extensive soft tissue damage, leading to higher complication rates as reported in the literature (24)(25)(26); this could be considered another limitation of our study.…”

Section: Discussionmentioning

confidence: 81%

Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

et al. 2018

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Background: Recently, minimally invasive surgical (MIS) techniques have become more common in orthopedics and traumatology practice. MIS techniques may also reduce complications in the treatment of tibial plateau fractures (TPFs). Objectives: The aim of this study was to compare the radiological and functional outcomes of TPF, treated by MIS techniques and the conventional approach (open reduction and internal fixation). Methods: The patients were divided into two groups, receiving either MIS (group A) or conventional treatment (group B). Each group consisted of 20 patients. The mean age of patients was 46.8 ± 2.85 years in group A and 50.3 ± 2.41 years in group B. Incisionhealing complications were classified based on severity. Functional outcomes were evaluated using the Lysholm scale in the first year. Results: Complete healing without incision-healing complications was reported in all patients from group A, whereas nine incisionhealing complications were found in group B (P < 0.001). The mean Lysholm scores of patients in group A and group B were 81.8 ± 1.72 and 76.3 ± 2.27, respectively (P = 0.06). Also, the mean fracture union time in group A and group B was 9.55 ± 0.46 and 10.25 ± 0.71, respectively (P = 0.41). Conclusions: Widespread use of MIS can be promoted in order to reduce incision-healing complications in TPF. However, further prospective studies with a larger sample size are needed to confirm our results.

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Section: Discussionmentioning

confidence: 81%

Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

et al. 2018

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“…Use of a less invasive stabilization system (LISS) has been recommended for tibial fracture xation due to excellent mechanical features [5]. Minimally invasive percutaneous plate osteosynthesis (MIPPO), meanwhile, can protect the fractured segment of a bone and mostly preserve its blood supply, thus providing a biological environment most conducive for nonunion healing [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Use of Ilizarov and MIPPO techniques in the treatment of a 20-year infected nonunion of the tibia: a case report

Niu,

Cui,

Ren

et al. 2023

Preprint

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Introduction: The management of infected nonunion has always been an orthopedic challenge, and it is more difficult to treat it if it is accompanied by shortening and angulation deformity. Case report: we present a case of osteomyelitis and infected nonunion of the right tibia with right lower extremity shortening and angular deformities. The Ilizarov technique was applied to treat large segmental bone defects with deformities via simultaneous lengthening of the free bone segment and the broken distal tibia. Conclusion: Use of the Ilizarov technique in combination with MIPPO can effectively treat bone deformities caused by infected nonunion while reducing the duration of external fixation, protecting against refracture and allowing for early rehabilitation.

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“…And due to the anatomical characteristics of proximal tibia, whose medial side is lack of muscle coverage, the morbidity associated with deep surgical site infection in plated proximal tibial fractures was rather high [6]. But the development of low profile plates and LISS (less invasive stabilization system) technique made the situation better [7][8][9]. Therefore, currently, both ways can achieve excellent results for proximal tibial fractures.…”

Section: Introductionmentioning

confidence: 99%

Nailing Versus Plating in the Management of Proximal Extra-Articular Tibial Fractures: A Systematic Review

Cen

2017

JOENTR

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Background: Problem both intramedullary nailing (IMN) and plating have pearls and pitfalls in treating proximal tibial extra-articular fractures. The current study sought to provide clinical evidence for comparison of the two methods in treating such injury. Methods:A systematic search for articles published from January, 1990 to September, 2016, using PubMed, Embase and the Cochrane library was conducted. Clinical researches comparing the outcomes of nailing and plating for proximal extra-articular tibial fractures, on human subjects over 18 years old were included. No limit of language and publication status was applied. The quality of the included randomized controlled studies was analyzed with Cochrane Collaboration Risk of Bias Tool. And the non-randomized studies were assessed using the Risk of Bias Assessment Tool for Non-Randomized Studies (RoBANS). Results:Out of 299 preliminary search results, one randomized controlled trial and one retrospective cohort study were included in the current systematic review of 100 cases (44 in the RCT and 56 in the retrospective study, 41 IMN cases and 59 plate cases). Interpretation:The meta-analysis of the current study found similar union rate, mal-union rate and infection rate for IMN and plate. IMN was more patient satisfactory, but at the same time, more technically requiring. However, the final conclusion that IMN and plate had the same outcome in treating proximal tibial extra-articular fractures should still be made with caution, because of the relatively small sample size of this systematic review.

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Less invasive stabilization system for the management of proximal tibia fractures

Abstract: The less invasive stabilization internal fixator system can be used successfully to treat complex proximal tibia fractures with minimal complications. It can be an alternative method for the treatment of the proximal tibia fractures.

Cited by 7 publications

References 17 publications

Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

Use of Ilizarov and MIPPO techniques in the treatment of a 20-year infected nonunion of the tibia: a case report

Nailing Versus Plating in the Management of Proximal Extra-Articular Tibial Fractures: A Systematic Review

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