Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Functional and Radiological Outcome of Distal Tibia Fracture Treated with Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO)‐ Prospective Study
Mohamed Syed Moosa, Zakir Hussain Mohamed, Mathan Kumar, K.C. Mathew and Mohamed Sheriff
Page: 501-505 | Received 29 Apr 2024, Published online: 23 Jun 2024
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Abstract
Distal tibial fractures accounts for less than 7% of all tibial fractures and less than 10% of all lower extremity fractures. Distal tibial fractures are more commonly seen in males between the age group of 30‐50 years, at present there are various techniques evolved to improve fixation of distal both bone fractures of leg including fibular plating (distal third fractures), different nail design with different proximal bends (proximal third fractures), blocking screws (poller screws) and Locking plates. All methods has some merits and demerits of its own, therefore Gold standard treatment option for distal 1/3r tibia fracture is still controversial. Hence in this study we assessed functional and radiological outcome of Minimally invasive percutaneous plate osteosynthesis (MIPPO) in the treatment of distal 1/3rd tibia fracture. To study the functional and radiological outcome of MIPPO in the treatment of distal 1/3rd tibia fracture. After getting institutional human ethical committee and research committee approval, This Prospective Study was conducted among 30 patients in Sree Mookambika Institute of Medical Sciences, Kulasekharam, who were diagnosed to have extra articular distal tibia fractures. Nonprobability sampling technique. We included patients with age >18 years , extra‐articular distal tibia fractures, Closed fracture and Type 1 and 2 Gustilo and Anderson type fracture , AO Type 43 A1, A2 and A3 fractures Acute fractures (<2 weeks old ) . We have excluded patients with age <18 years, Intra articular fractures (AO type B1‐3, C1‐3), Open fractures (Gustilo and Anderson Type 3 and 4), Pathological fractures, Fractures >2 weeks. All the patients involved in the study were explained in detail and informed consent forms were obtained. All required investigations were done including X‐Ray, CT‐Scan, blood investigations. All the 30 patients were managed with Minimally invasive percutaneous plate osteosynthesis The patients were regularly followed up for a period of 6 months in regular intervals at 4 , 8 , 12 and 24 weeks. Functional outcome was measured using Modified Klemn and Borner scoring system. Patients were evaluated for complications such as infection, mal‐alignment and pain on weight bearing, muscle atrophy and ankle Range of motion. The data collected was subjected to double data entry in MS Excel. The data was analysed using SPSS Version 20.0 using Chi square test. The functional outcome of 30 patients in our study was evaluated using Modified Klemn and Borner score. Based on the score the patients were graded as Excellent, Good, Fair and Poor. According to this score, MIPPO has 13 (43%) excellent outcome, 13(43%) Good, 3(10%) fair outcome and only one patient (4%) had poor outcome. In our study MIPPO has 26 patients of Excellent to Good results (86.7%) Distal tibial fractures can be effectively treated by Minimally Invasive Percutaneous Plate Osteosynthesis providing good to excellent results. Very minimal complications were encountered in our study. No cases of non‐union were found among MIPPO. In our present study we observed that MIPPO had 43.3% excellent outcome according to the scoring system used. Therefore, we recommend that Minimally Invasive Percutaneous Plate Osteosynthesis considered as a very effective modality of treatment in indicated distal third tibia fractures with good soft tissue condition.
How to cite this article:
Mohamed Syed Moosa, Zakir Hussain Mohamed, Mathan Kumar, K.C. Mathew and Mohamed Sheriff. Functional and Radiological Outcome of Distal Tibia Fracture Treated with Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO)‐ Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.501.505
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.501.505