Triplane fracture of the proximal tibia: a case report and literature review

Fekih, A.; Othman, Youssef; Saïdi, A.; Aloui, Issam; Abid, A.

doi:10.11604/pamj.2019.33.40.17953

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…Lateral DISCUSSION: Proximal tibia fractures in most cases, are high energy injuries, resulting in skeletal injuries, ligament injuries, and multisystem dysfunction. Without proper intervention and management, these injuries will lead to poor outcomes like instability, loss of motion, posttraumatic arthritis, wound breakdown, and infection 7 . Open reduction and internal fixation for this type of complex intra-articular fractures have high chances for soft tissue complications like infection and skin necrosis 8 .…”

Section: Resultsmentioning

confidence: 99%

Untitled

2022

IJPSR

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Introduction: Proximal tibia is a weight-bearing area, and treating these fractures is challenging. Various treatment options will be closed reduction and casting, Open reduction and internal fixation with plate osteosynthesis, and minimally invasive plate osteosynthesis (MIPO). The advantage of MIPO in this type of fracture is that it requires only minimal exposure for stable fixation and will give a better quality of life with less complications. The study aimed to assess the functional outcome of MIPO in treating the proximal tibia fractures. Materials and Methods: A prospective study of 30 patients was conducted in patients treated with the MIPO technique for closed proximal tibia fracture. Sanders score was assessed for functional outcome in 6th month. Results: The mean age of the patients was 43.16 years. Lateral column MIPO alone was done in 22 patients and Dual column MIPO was done in 8 patients. The mean time to union of fracture was 12.16 weeks ranging from 11 to 18 weeks. Sanders score at 6th month showed excellent results in 18 cases, good results in 8, fair results in 3 and poor results in 1 case (Type II fracture). Conclusion: MIPO is a good technique for treating proximal tibia fractures as it provides good functional results like early fracture union, minimal blood loss, early wound healing, less chances of infection and early mobilization with better quality of life. However, it has its own limitations.

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Section: Resultsmentioning

confidence: 99%

Untitled

2022

IJPSR

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“…Research has shown that both management approaches are effective. (16,17) To perform dual column plating, two distinct incisions are required, which means there is a significant possibility of soft tissue injury and periosteal injury. (18) Thirty-five patients were taken for this study, having a mean age of 38.54±12.65 years; male patients had a higher frequency than female patients.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Minimally Invasive Percutaneous Plate Osteosynthesis Among Patients With Proximal Tibia Fractures

SAEED,

INAM,

HAQ

2024

Biol Clin Sci Res J

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Proximal tibia fractures are complex injuries that pose significant challenges in orthopaedic surgery. Minimally invasive percutaneous plate osteosynthesis (MIPPO) has been increasingly adopted as a treatment method due to its potential benefits in reducing soft tissue damage and promoting faster recovery. Objective: To assess the functional outcome of minimally invasive percutaneous plate osteosynthesis (MIPPO) among patients with proximal tibia fractures. Methods: A prospective cohort study was conducted in a tertiary care hospital over a period of two years, from January 2021 to December 2022. Thirty-five patients presenting with proximal tibia fractures were treated using the MIPPO technique. The Schatzker classification was used to categorize the fractures. Functional outcomes were assessed using the Knee Society Score (KSS) at six months postoperatively. Data were analyzed using descriptive statistics and chi-square tests to determine the significance of outcomes. Results: The most frequent type of fracture, according to Schatzker's classification, was type I, followed by type II and type III. An excellent outcome was observed in 21 patients (60%), good outcomes in 8 patients (22.9%), fair outcomes in 5 patients (14.3%), and poor outcomes in 1 patient (2.9%). Postoperative complications included infection in 2 patients (5.7%). Conclusion: Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a safe and effective technique for managing proximal tibia fractures, yielding excellent functional outcomes in most patients.

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“…It has been proposed that triplane fractures of the proximal tibia are relatively rare because of the symmetrical closure pattern of the physis in contrast to the asymmetrical closure of the distal tibial physis. 2 , 4 , 5 It has also been suggested that the medial and lateral collateral ligaments of the knee pass over the epiphysis and insert onto the tibial metaphysis, which protects the epiphysis from fractures by allowing stress to bypass the epiphysis, being transmitted directly to the metaphysis. 5 …”

Section: Discussionmentioning

confidence: 99%

“… 2 , 4 , 5 It has also been suggested that the medial and lateral collateral ligaments of the knee pass over the epiphysis and insert onto the tibial metaphysis, which protects the epiphysis from fractures by allowing stress to bypass the epiphysis, being transmitted directly to the metaphysis. 5 …”

Section: Discussionmentioning

confidence: 99%