Per Cutaneous Plating Through Multiple Stab Incisions in Comminuted Fractures of The Tibia-A New Technique
Abstract
Introduction: A study to assess the role of minimally invasive plate osteosynthesis (MIPO) in the treatment of 24 adult patients of comminuted fractures of the tibia is presented. Materials & Method: It was a prospective and interventional study of clinical cases being operated with minimally invasive plate osteosynthesis. However a new technique with multiple stab incisions was used. Results: There were 4 cases of proximal tibial fractures, 17 cases of diaphyseometaphyseal fractures and 3 cases of distal tibial fractures. All were treated with "Biological Plating" techniques using indirect reduction methods, with limited operative exposure, without opening the fracture site. A new multiple stab technique was used to fix these fractures. All cases went on to union. 62.5% cases showed radiological union between 14 and 18 weeks and remaining 37.5% in 19 and 23 weeks. 82.3% cases went to full weight bearing in 23 weeks. 8 cases required bone grafting. Incidence of complications was very low, with only 6 cases of superficial infection, delayed union, non union, implant failures. Range of motion at knee and ankle joint was excellent. Conclusion: The functional outcome for long term result were rated using points, revealed excellent to good outcome in 83% cases with fair result in 17% patients.
Downloads
Published
How to Cite
Issue
Section
License
The Journal of Fatima Jinnah Medical University follows the Attribution Creative Commons-Non commercial (CC BY-NC) license which allows the users to copy and redistribute the material in any medium or format, remix, transform and build upon the material. The users must give credit to the source and indicate, provide a link to the license, and indicate if changes were made. However, the CC By-NC license restricts the use of material for commercial purposes. For further details about the license please check the Creative Commons website. The editorial board of JFJMU strives hard for the authenticity and accuracy of the material published in the journal. However, findings and statements are views of the authors and do not necessarily represent views of the Editorial Board.
