J Korean Fract Soc.  2010 Jan;23(1):34-41. 10.12671/jkfs.2010.23.1.34.

Treatment of Proximal Tibia Fractures Using LCP by MIPO Technique

• Ha SH
• Kim DH
• Lee JY

• KMID: 1461570
• DOI: http://doi.org/10.12671/jkfs.2010.23.1.34

Abstract

PURPOSE
We wanted to evaluate the efficacy of MIPO (minimal invasive plate osteosynthesis) technique by LCP (locking compression plate) for treating proximal tibia fractures.
MATERIALS AND METHODS
Twenty-three patients, who had operation due to proximal tibia fracture and available for follow up for more than 1 year were included in this study. Cause of injury and accompanied injuries were checked. Operation time, period to bone union, range of joint motion and alignment were evaluated with complications.
RESULTS
Mean bone union time was 13.7 weeks (10~20). Twenty-one cases of the patients showed angulation of less than 5 degrees and 17 cases had normal range of motion. Five cases showed skin irritation by the plate and 2 cases had superficial infection.
CONCLUSION
LCP by MIPO technique for treating proximal tibia fracture showed excellent results. Delicate technique is required for the proper adjustment of LCP and the alignment of the lower leg.

Keyword

Proximal tibia; Locking compression plate; Minimal invasive plate osteosynthesis (MIPO)

MeSH Terms

Follow-Up Studies
Humans
Joints
Leg
Reference Values
Skin
Tibia

Figure

• 

  Fig. 1 (A, B) 34 year-old male patient sustained AO type A2 fracture, who injuried by pedestrian traffic accident. (C, D) 11 weeks after the operation, bony union was achieved. There was pain free full weight bearing ambulation. (E, F) He got a full range of motion of knee.

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  Fig. 2 A 55-year-old man with AO type A3 both proximal tibia fracture, who injuried by motor vehicle accident. He is combined with Rt. femur supracondylar fracture. (A, B, C, D) Both tibia preoperative anteroposterior and lateral radiograph. (E, F, G, H) The fracture was healed 16 weeks after surgery. (I) Application of MIPO technique.

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  Fig. 3 (A, B) 37 year-old male patient sustained AO type A3 fracture, who injuried by fall from a hight. (C, D) 12 weeks after the operation, bony union was achieved, And valgus alignment of 6 degrees.

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