J Korean Fract Soc.  2005 Jul;18(3):250-255. 10.12671/jkfs.2005.18.3.250.

Double Plating of Proximal Tibial Fractures Using Minimally Invasive Percutaneous Osteosynthesis Technique

• Oh CW
• Oh JK
• Jeon IH
• Kyung HS
• Park IH
• Park BC
• Min WK
• Lee JH

• KMID: 1905606
• DOI: http://doi.org/10.12671/jkfs.2005.18.3.250

Abstract

OBJECTIVES
To evaluate the results and its efficacy of double plating for proximal tibial fractures using minimally invasive percutaneous osteosynthesis (MIPO) technique. MATERIAL & METHODS: Twenty-three fractures, followed-up more than 1 year, were included in this retrospective study. There were 18 men and 5 women, and the mean age was 53.5 years-old. According to the AO-OTA classification, five were 41A, 13 were 41C, and 5 were 42. There were four open fractures (grade I- three, grade III A-one case). The plates were fixed on the medial and lateral sides of tibia with MIPO technique. Functional and radiographic results were evaluated by the modified Rasmussen system.
RESULTS
All fractures healed without bone graft, and the mean period for fracture healing was 19.3 weeks (range, 10~32 weeks). All other patients had excellent or good clinical or radiological results, except for two patients of a fair clinical result after a combined injury. Complications included one case of shortening (1 cm) and two cases of mal-alignments (varus less than 10 degrees). There was one case of superficial infection, but no patient showed deep infection.
CONCLUSION
Double plating using MIPO technique can provide favorable results in the treatment of proximal tibial fractures.

Keyword

Double plating; MIPO technique; Proximal tibia fracture

MeSH Terms

Classification
Female
Fracture Healing
Fractures, Open
Humans
Male
Retrospective Studies
Tibia
Tibial Fractures*
Transplants