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KMID : 0386420110240010023
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Journal of the Korean Fracture Society
2011 Volume.24 No. 1 p.23 ~ p.27
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Minimally Invasive Plate Osteosynthesis for Proximal Tibial Shaft Fracture
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Byun Young-Soo
Park Ki-Chul
Bong Hyun-Jong
Lee Chang-Hun
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Abstract
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Purpose: To report the results of patients treated by minimally invasive plate osteosynthesis (MIPO) for proximal tibial shaft fractures.
Materials and Methods : From September 2003 to June 2008, thirty-two patients with proximal tibial shaft fractures weretreated by MIPO. There were 22 men and 10 women and mean age was 43.8 years (range; 21∼72 years). Follow-up was available for all patients and the mean follow-up period was 19.5 months (range; 12∼40 months). Duration of union, range of knee motion and postoperative complications were evaluated.
Results: Twenty-nine patients (90.6%) healed after the MIPO technique. The mean duration of radiographic union was 18.3 weeks (range; 10∼28 weeks). The mean range of knee motion was 134 degrees at the last follow-up. There were 1 non-union, 2 delayed unions, 1 superficial infection, 1 deep infection, 2 malunions with more than 5 degrees of malalignment and 14 cases of skin irritation by plate.
Conclusion: MIPO is an effective treatment for closed, proximal tibialshaft fractures. More aggressive treatment such as dual plating should be considered in fractures with severe comminution or bone loss.
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KEYWORD
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Proximal tibia, Locking compression plate, MIPO
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