ORIGINAL ARTICLE |
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Year : 2016 | Volume
: 29
| Issue : 3 | Page : 691-697 |
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Evaluation of treatment of distal tibial fractures using the minimally invasive percutaneous plate osteosynthesis technique
Hassan A Neinaa, Yasser S Hannout, Ayman A Mohammed Abdel Wahab
Department of Orthopedic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Correspondence Address:
Ayman A Mohammed Abdel Wahab Orthopedic Surgery resident, Mansoura New General Hospital, Dakahlia, 35511 Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/1110-2098.198756
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Objectives
The goal of this study was to report and evaluate the treatment of distal tibial fractures using the minimally invasive percutaneous plate osteosynthesis (MIPPO) technique.
Background
MIPPO has been used for the management of fractures since a long period of time. Good fixation, mild blood loss, and early mobilization are always the main advantages of this technique. Other advantages include the following: it is simple, quick, and causes minimal surgical trauma.
Materials and methods
From August 2013 to January 2015, 20 (13 male and seven female) patients with a mean age of 49.5 years suffering from type A distal tibial fracture were treated in the Orthopedic Department, El-Menoufiya University Hospital, and Mansoura New General Hospital with medial distal locked plate using the MIPPO technique and early mobilization.
Results
Fracture union was achieved within 16-23 weeks. In 16 cases union was achieved within 16-20 weeks and was delayed in three cases and achieved within 23 (mean: 19.2) weeks. There was only one case in which nonunion occurred.
Conclusion
The MIPPO technique is effective in achieving union and excellent functional outcome in metaphyseal distal tibial fractures. |
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