Staged Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures
Journal of the Korean Fracture Society
;
: 289-295, 2010.
Article
in Korean
| WPRIM
| ID: wpr-169774
ABSTRACT
PURPOSE:
To assess the result of staged minimally invasive plate osteosynthesis (MIPO) for distal tibial fracture with an open wound or injured soft tissue. MATERIALS ANDMETHODS:
In 20 patients (mean age, 47.8 year-old) with distal tibial fractures, there were 4 type A fractures and 16 type C fractures based on the AO classification system. Eight of the 20 patients had open fractures. MIPO was performed on average 23.9 days after bridging external fixation. At the final follow-up, we assessed the radiological results of bone union and alignment. Functional results were also evaluated by measuring the degrees of ankle motion and the American Orthopedic Foot & Ankle Society (AOFAS) scores.RESULTS:
Seventeen of 20 cases (85%) achieved primary union at an average of 21.3 weeks. There were 3 cases of nonunion requiring a bone graft. The mean AOFAS score was 88.5 (range, 67~92) and the average range of ankle motion was 49.2degrees (plantarflexion 37.4degrees, dorsiflexion 11.8degrees). Complication included 2 cases of minor mal-alignment, 1 case of claw toe and 1 case of peroneal neuropathy. Patients over the age of 60 had lower functional results. Additional factors did not affect the final results.CONCLUSION:
Staged MIPO may achieve satisfactory results in distal tibial fractures with soft tissue compromise, decreasing deep infections and soft tissue complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orthopedics
/
Tibial Fractures
/
Follow-Up Studies
/
Transplants
/
Peroneal Neuropathies
/
Hammer Toe Syndrome
/
Foot
/
Fractures, Open
/
Ankle
Type of study:
Observational study
/
Prognostic study
Limits:
Animals
/
Humans
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2010
Type:
Article
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