International Journal of Orthopaedics Sciences

Functional outcome of distal tibia fracture treated with locking compression plate using minimally invasive percutaneous plate osteosynthesis technique (MIPPO): A prospective study

2019, Volume 5 Issue 4

Functional outcome of distal tibia fracture treated with locking compression plate using minimally invasive percutaneous plate osteosynthesis technique (MIPPO): A prospective study

Author(s): Dr. Vikas Illur, Dr. Ravindra Shivgonda Patil, Dr. Jigar Shah, Dr. Naresh Chaudhary and Dr. Vijaysinh Bhosale
Abstract: Introduction: Treating distal tibia fracture is a greater challenge for surgeons to manage even today. The difficulty is due to its poor blood supply and limited soft tissue envelope. Various techniques are now available for the treatment of tibia fractures. The occurrence of implant failure, skin necrosis, infection and malunion are high in case of distal tibia fractures.
Aims/Objective: Our aimed was to analyze the functional outcome of distal tibia fractures treated by MIPPO Technique using the American Orthopedic Foot and Ankle Society Score.
Method: A total of 20 patients of a closed distal Tibia fracture were studied by us with a MIPO with LCP Technique in Department of Orthopedics at DYP Medical College and hospital Kolhapur during the period from June 2017 and June 2019 and were prospectively followed for average duration of 16 months (6-24 months).
Results: In our study the mean age of patients was 43 out of which 65% was male and 35% was female. Functional outcome was measured using the AOFAS score and mean AOFAS score was 84.45 at the end of 6 months. Under our study out of 20 patients 4 had excellent outcome, 14 had good result, 2 had acceptable result on basis of AOFAS score.
Conclusion: MIPPO is an effective method of treatment for distal tibia fractures because it offers a Bio-logical advantage by preserving periosteal blood supply and combine with C-arm guidance helps in indirect reduction of distal tibia fracture in restoring length an alignment, thus reducing the chances of malunion and deformities. It helps in early mobilization of ankle movement and reduces the ankle stiffness thus improving clinical and functional outcome.
Pages: 980-984  |  1176 Views  270 Downloads


International Journal of Orthopaedics Sciences
How to cite this article:
Dr. Vikas Illur, Dr. Ravindra Shivgonda Patil, Dr. Jigar Shah, Dr. Naresh Chaudhary, Dr. Vijaysinh Bhosale. Functional outcome of distal tibia fracture treated with locking compression plate using minimally invasive percutaneous plate osteosynthesis technique (MIPPO): A prospective study. Int J Orthop Sci 2019;5(4):980-984. DOI: 10.22271/ortho.2019.v5.i4q.1805
 
International Journal of Orthopaedics Sciences
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