The prospective analysis of functional outcome of osteosynthesis of extra-articular distal tibia fractures using minimally invasive percutaneous plate osteosynthesis technique

Authors

  • Arjun Mandri Department of Orthopedics, Vydehi Institute of Medical Sciences and Research, Bangalore, Karnataka, India
  • Nuthan Jagadeesh Department of Orthopedics, Vydehi Institute of Medical Sciences and Research, Bangalore, Karnataka, India
  • Sunil Nanjareddy Department of Orthopedics, Vydehi Institute of Medical Sciences and Research, Bangalore, Karnataka, India
  • Vishwanath Muttagaduru Shivalingappa Department of Orthopedics, Vydehi Institute of Medical Sciences and Research, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20201555

Keywords:

Distal tibia fractures, MIPPO technique, AOFAS score

Abstract

Background: Extra-articular distal tibial fractures are one of the most complicated ones to treat, specially comminuted fractures. Its subcutaneous nature and lack of adequate musculature makes it more prone for soft tissue damage and bone loss. The key to handle these troubling fractures is to skilfully preserve and reconstruct the soft tissues, early mobilisation and functional use of the extremity with the maintenance of satisfactory length and alignment of the fracture.

Methods: This prospective longitudinal study involved 30 patients with extraarticular distal tibia fracture, who are admitted in Vydehi Institute of Medical Sciences and Research Centre between January 2017 to 2019. All were treated with closed reduction and internal fixation using pre-contoured anatomical distal tibia locking plate using minimally invasive percutaneous plate osteosynthesis (MIPPO) technique. Functional and radiological outcome along with associated complications are evaluated in serial follow up.

Results: 30 patients with minimal follow up criteria of 6 months was evaluated with AOFAS score for functional outcome. At the end of 1 year, 21 cases (70%) of the cases had excellent results, 5 cases (16.7%) had good results, 3 cases had fair results and only 1 case had poor result.

Conclusions: With the use of pre-contoured anatomical locking plates used, MIPPO technique is effective in extra articular distal tibia fractures where it not only helps in decreasing operating time but also in achieving excellent functional outcome with radiological union the fractures by preserving osseous vascularity and minimal soft tissue insult due to surgery.

Author Biographies

Arjun Mandri, Department of Orthopedics, Vydehi Institute of Medical Sciences and Research, Bangalore, Karnataka, India

Senior Resident,

Department of Orthopedics

Vydehi institute of Medical Sciences

Bangalore, Karnataka

Nuthan Jagadeesh, Department of Orthopedics, Vydehi Institute of Medical Sciences and Research, Bangalore, Karnataka, India

Assistant professor,

Departement of Orthopedics

Vydehi institute of Medical Sciences

Sunil Nanjareddy, Department of Orthopedics, Vydehi Institute of Medical Sciences and Research, Bangalore, Karnataka, India

Assistant professor,

Departement of Orthopedics

Vydehi institute of Medical Sciences

Vishwanath Muttagaduru Shivalingappa, Department of Orthopedics, Vydehi Institute of Medical Sciences and Research, Bangalore, Karnataka, India

Professor and unit head,

Department of Orthopedics

Vydehi institute of Medical Sciences

Bangalore, Karnataka

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Published

2020-04-22

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Original Research Articles