Minimal Invasive Plate Osteosynthesis for Distal Tibia Fractures
Keywords:
Fractures, MIPO, Outcomes, Osteosynthesis, Trauma, TibiaAbstract
Abstract: Background: Distal tibia fractures, challenging for surgeons due to unique anatomy, often result from high-energy trauma. Traditional treatments like ORIF entail significant soft tissue dissection. MIPO, a promising alternative, lacks sufficient empirical support for treating distal tibia fractures, warranting further study.
Materials and Methods: This Prospective case series study was conducted on 36 consecutive patients of either sex having age range of 18 and above seen between May 2017 and December 2020 at the Department of Orthopedic and Trauma, Government Lady Reading Hospital Medical Teaching Institute, Peshawar. The Effectiveness of the MIPO was assessed radiographically and functionally. Healing in bone as seen in three cortices out of four is called radiographic healing and pain free full weight bearing is called functional healing.
Result: A total of 36 individuals were investigated for this investigation. 27 men and 9 women, or a 75% to 25% gender split. The patients ranged in age from 18 to 60, with an average age of 36.36. The standard deviation of 13.749 indicates that the patients’ ages varied, but the results were usually reliable. Thirteen (36.1%) of the instances were falls, whereas 23 (63.9%) of the cases involved high-velocity trauma such automobile collisions. The AO/OTA categorization system allowed for the identification of several fracture forms. Type A fractures were recorded in 17 instances (47.25%) of all reported fractures. Type B fractures were found in 13 cases (36.15%), while Type C fractures were documented in 6 cases (16.7%). Of the patients who got treatment, thirty (83.3%) experienced no complications at all. Six patients experience rare problems. It’s noteworthy that conservative approaches were used to solve every one of these problems.
Conclusion: MIPO is a safe and effective treatment option for distal tibia fractures, providing adequate fracture reduction and favorable functional results. Because there is less soft tissue injury, patients heal more quickly and have fewer complications.
