Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
98
Views
7
Downloads
Abstract
Distal tibia fracture management is difficult due to wound infections and poor wound healing caused by unstable blood supply. Numerous surgical treatment modalities, including closed intra medullary nailing, open reduction and internal fixation with standard plate osteosynthesis external fixation, have been tried, nevertheless, the majority of these have higher complication rates than positive functional outcomes. With less soft tissue manipulation and less periosteal stripping, the more recent method of fixing distal tibia fractures utilising Minimally Invasive Percutaneous Osteosynthesis (MIPO) promotes quicker healing and decreased infection rates. The aim of the study was to evaluate the result of minimally invasive percutaneous osteosynthesis for treatment of distal tibial fractures. The present study was conducted in the department of Orthopaedics at a tertiary care hospital and followed up for a period of 2 years. In this study, 38 patients with distal tibia fractures with or without associated fibula fractures were treated with MIPO. Patients were subjected to history taking, clinical examination and radiological evaluation. American orthopaedic foot and ankle society score (AOFAS) scoring system was used to evaluate the function of the ankle, at 3, 6 and 12 months of postoperative follow‐up examination. Results were analysed using SPSS 20.0 version and the association was tested using Chi square test. Patients ranged in age from 28 to 52 years, with a majority of male patients. In 35 (92.1%) of the patients, the mechanism of injury was Road Traffic Accident(RTA), whereas 3 (7.9%) had a history of falling. The most common fracture pattern in the study was AO type 43C1, which was seen in 9 (23.68%) of the patients. The MIPO method revealed fracture union after an average of 15.5 weeks. At the end of a year, 33 patients (86.84%) were rated as excellent, 4 patients (10.53%) as good 1 patient (2.63%) as fair, according to the AOFAS score. A total of 2 (5.26%) patients had superficial wound infection, whereas 1 (2.63%) had deep wound infection. MIPO is a dependable way of fixing not only extra‐articular but also intra‐articular distal tibia fractures. Patients who receive MIPO treatment have a significantly lower probability of deep infection, which provides a biological advantage by maintaining the blood supply and lowering the likelihood of a delayed or non‐union. Early mobilisation is aided by the MIPO approach, which also lowers the possibility of ankle stiffness.
How to cite this article:
S.L. Binesh, A.J. Sukaash, T. Uvarajan, K.C. Mathew and Mohamed Sheriff. Functional Outcome of Minimally Invasive Plate Osteosynthesis Technique in Distal Tibial Fracture: A Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.449.453
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.449.453