Limits...
Early Results of Minimally Invasive Percutaneous Plate Osteosynthesis for Fractures of the Distal Tibia: A Retrospective Case Series and Review of the Literature

View Article: PubMed Central - PubMed

ABSTRACT

Minimally invasive percutaneous plate osteosynthesis was developed on the concept that preservation of the soft tissue envelope during surgical management of distal tibial fractures is of paramount importance. We report on our early experience using this technique over a 1-year period with 14 such injuries that were treated by a locking compression plate via minimally invasive surgery. The surgical reduction was excellent in most of the cases and all fractures healed uneventfully. One superficial infection and a wound slough were the only complications recorded. The mean follow-up was at 15 months, and all patients were satisfied with a mean ankle-hindfoot score of 84. Early results of such management are very encouraging.

No MeSH data available.


Related in: MedlinePlus

(A and B) Highly comminuted, type C fracture of the distal tibia. Post-operative radiographs indicated an intra-articular step of 2 mm on the lateral view; however, the outcome was excellent and the patient was pleased at the time of follow-up.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC5385485&req=5

f3-10.1177_1179544117701724: (A and B) Highly comminuted, type C fracture of the distal tibia. Post-operative radiographs indicated an intra-articular step of 2 mm on the lateral view; however, the outcome was excellent and the patient was pleased at the time of follow-up.

Mentions: A locking compression plate (LCP) was the fixation device used in all the cases, and minimally invasive percutaneous osteosynthesis (MIPO) was the technique implemented. All the surgeries were performed by A.M.N. and S.L., with the assistance of G.A. Associated fibular fractures were plated first to establish the correct length (in cases with epiphyseal and/or metaphyseal comminution of the tibia), using similar technique (Figure 2). Fixation of the fibula, however, was not deemed necessary in all cases (as in extra-articular, meta-diaphyseal simple tibial fractures). Intra-articular tibial fractures were fixed with screws, wherever applicable, through mini-arthrotomies via separate small incisions, and metaphyseal voids were filled with autologous cancellous bone graft from the iliac crest (Figure 3).


Early Results of Minimally Invasive Percutaneous Plate Osteosynthesis for Fractures of the Distal Tibia: A Retrospective Case Series and Review of the Literature
(A and B) Highly comminuted, type C fracture of the distal tibia. Post-operative radiographs indicated an intra-articular step of 2 mm on the lateral view; however, the outcome was excellent and the patient was pleased at the time of follow-up.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5385485&req=5

f3-10.1177_1179544117701724: (A and B) Highly comminuted, type C fracture of the distal tibia. Post-operative radiographs indicated an intra-articular step of 2 mm on the lateral view; however, the outcome was excellent and the patient was pleased at the time of follow-up.
Mentions: A locking compression plate (LCP) was the fixation device used in all the cases, and minimally invasive percutaneous osteosynthesis (MIPO) was the technique implemented. All the surgeries were performed by A.M.N. and S.L., with the assistance of G.A. Associated fibular fractures were plated first to establish the correct length (in cases with epiphyseal and/or metaphyseal comminution of the tibia), using similar technique (Figure 2). Fixation of the fibula, however, was not deemed necessary in all cases (as in extra-articular, meta-diaphyseal simple tibial fractures). Intra-articular tibial fractures were fixed with screws, wherever applicable, through mini-arthrotomies via separate small incisions, and metaphyseal voids were filled with autologous cancellous bone graft from the iliac crest (Figure 3).

View Article: PubMed Central - PubMed

ABSTRACT

Minimally invasive percutaneous plate osteosynthesis was developed on the concept that preservation of the soft tissue envelope during surgical management of distal tibial fractures is of paramount importance. We report on our early experience using this technique over a 1-year period with 14 such injuries that were treated by a locking compression plate via minimally invasive surgery. The surgical reduction was excellent in most of the cases and all fractures healed uneventfully. One superficial infection and a wound slough were the only complications recorded. The mean follow-up was at 15 months, and all patients were satisfied with a mean ankle-hindfoot score of 84. Early results of such management are very encouraging.

No MeSH data available.


Related in: MedlinePlus