Abstract

Management of fractures of the extra articular distal tibia by minimally invasive plate Osteosynthesis�?¢�?�?��?�?�A prospective series of 21 patients

Author(s):Mudgal Ashwani, Daolagupu Arup K., Agarwala Vikash and Sinha Abhinit K

Extra articular distal tibial fractures are frequently encountered by the orthopaedician due to high incidence of road traffic accidents. Our aim is to study clinical and radiological outcome in extra-articular distal tibia fractures treated by minimally invasive plate osteosynthesis (MIPO). 21 patients were treated with minimally invasive plate osteosynthesis by locking compression plate (MIPO) who attended the OPD and emergency of department of Orthopaedics, Silchar Medical College & Hospital who met the inclusion criteria for a period of 1 year 01/06/2014 – 31/05/2015. Patients were followed up for clinical and radiological evaluation at 6 weeks, 12 weeks, 20 weeks, 24 weeks, 6 months and 1 year. The mean age of the patients was 39.09 years ± 10.13 with 15 males and 6 females with 52.38% having left tibia involvement. The average time for union in our study was 21.70 ± 2.67 weeks. Also the average time required for partial and full weight bearing was 6.90 ± 1.33 weeks and 13.38 ± 1.24 weeks. Implant irritation and ankle stiffness were the main complications noted in our study. Average Functional outcome according to AOFAS score was measured in our study which came out to be 96.52 ± 4.16 and by Johner and Wruh’s criteria, showed that majority of the patients in the study had satisfactory functional results i.e. 76.18%. MIPO is an acceptable modality for treatment in terms of union while exposing the patient to lesser soft tissue trauma. Implant irritation is the complication due to its superficial implant. Larger RCTs are required for confirming the results.

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