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Application of minimally invasive plate osteosynthesis for treatment of tibial fracture evolving distal tibial

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Author:
XING Fei(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
FENG Ming-guang(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
YANG Hai-tao(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
CAO Qian-lai(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
WANG Liang-yi(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
WANG Jian(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
WANG An(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
WANG Hai-yang(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
ZHOU Jie(Department of Orthopedics, Shanghai Corps Hospital of Chinese People's Armed Police Force, Shanghai 201103, China)
Journal Title:
CHINA MEDICINE
Issue:
Volume 05, Issue 12, 2010
DOI:
10.3760/cma.j.issn.1673-4777.2010.12.026
Key Word:
Tibial fractures;Surgical procedures, minimally invasive;Tibial

Abstract: Objective To summarize the surgical experiences and clinical response of minimally invasive plate osteosynthesis(MIPO) in the treatment of length segment fracture with distal tibial. Methods From January 2005 to January 2008, 25 patients with length segment fracture with distal tibial were treated by MIPO in our department. According to the AO classification, there were 5 cases of type A, 8 type B, 12 type C. All cases were checked by radiographs and clinical examinations, and evaluated by knee Rasmussen scores. Results All patients were consecutive followed up till bone healing. No union, no reduction of plates and screws, no superficial wound infection and seromas occurred except 1 patient with 7° Valgus deformity and 1 patient with 10°. Conclusions Minimally invasive plate osteosynthesis can be used successfully to treat complex distal of tibial fracture without the need for additional medial stabilization. The MIPO provides stable fixation, high rate of union and low rate of infection of distal tibial fracture.

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