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Management of fractures of the extra articular distal tibia by minimally invasive plate Osteosynthesis—A prospective series of 21 patients

Authors: Mudgal Ashwani, Daolagupu Arup K., Agarwala Vikash and Sinha Abhinit K.

Int J Med Res Health Sci.276-282 | pdf PDF Full Text

Extra articular distal tibial fractures are frequently encountered by the orthopaedician due to high incidence of
road traffic accidents. Our aim is to study clinical and radiological outcome in extra-articular distal tibia fractures
treated by minimally invasive plate osteosynthesis (MIPO). 21 patients were treated with minimally invasive plate
osteosynthesis by locking compression plate (MIPO) who attended the OPD and emergency of department of
Orthopaedics, Silchar Medical College & Hospital who met the inclusion criteria for a period of 1 year 01/06/2014
– 31/05/2015. Patients were followed up for clinical and radiological evaluation at 6 weeks, 12 weeks, 20 weeks, 24
weeks, 6 months and 1 year. The mean age of the patients was 39.09 years ± 10.13 with 15 males and 6 females with
52.38% having left tibia involvement. The average time for union in our study was 21.70 ± 2.67 weeks. Also the
average time required for partial and full weight bearing was 6.90 ± 1.33 weeks and 13.38 ± 1.24 weeks. Implant
irritation and ankle stiffness were the main complications noted in our study. Average Functional outcome
according to AOFAS score was measured in our study which came out to be 96.52 ± 4.16 and by Johner and
Wruh’s criteria, showed that majority of the patients in the study had satisfactory functional results i.e. 76.18%.
MIPO is an acceptable modality for treatment in terms of union while exposing the patient to lesser soft tissue
trauma. Implant irritation is the complication due to its superficial implant. Larger RCTs are required for
confirming the results.

Keywords: Extraarticular distal tibia, Mipo, Plate fixation

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