J Korean Fract Soc.  2005 Jul;18(3):264-268. 10.12671/jkfs.2005.18.3.264.

Minimally Invasive Plate Osteosynthesis for Distal Tibial Metaphyseal Fracture

• Park KC
• Park YS

• KMID: 1905608
• DOI: http://doi.org/10.12671/jkfs.2005.18.3.264

Abstract

PURPOSE: To retrospectively reviewed the outcomes and advantages of minimally invasive plate osteosynthesis (MIPO) technique as a new treatment of distal tibial metaphyseal fracture.
MATERIALS AND METHODS
Nineteen distal tibial metaphyseal fractures were treated by MIPO technique and evaluated radiologically and functionally. A mean age was 46 years old (range 20~69 years) and a mean follow-up was 15 months (range 6~37 months). Sixteen fractures were not extended into ankle joint (AO/OTA type A1;4, A2;8, A3;4) and three fractures were extended into ankle joint (AO/OTA type C1;2, C2;1). Two cases were open fractures (type I;1, type III-A;1) according to the Gustilo-Anderson classification. RESULT: At a mean of 18 weeks (range 12 to 24), all fractures united without secondary procedures. A mean score was 94.2 point by Baird ankle scoring system. There were no complications including shortening over 1 cm, mal-alignment over 5 degrees, deep infection, or implant failure.
CONCLUSION
MIPO technique of distal tibial metaphyseal fracture is a worthwhile method with good unions and functional recovery.

Keyword

Distal tibial metaphyseal fracture; Minimal invasive plate osteosynthesis (MIPO) technique

MeSH Terms

Ankle
Ankle Joint
Classification
Follow-Up Studies
Fractures, Open
Humans
Middle Aged
Retrospective Studies