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首页> 外文期刊>International Journal of Research in Medical Sciences >A study of MIPO by locking compression plate fixation in the management of distal tibial metaphyseal fractures
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A study of MIPO by locking compression plate fixation in the management of distal tibial metaphyseal fractures

机译：锁定加压钢板内固定术治疗胫骨远端干phy端骨折的MIPO研究

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Background: Management of distal tibial metaphyseal fractures has been a difficult area because of the subcutaneous position of tibia. Exposure of implant has been a major problem in open reduction and fixation of these fractures. Minimally Invasive Plate Osteosynthesis (MIPO) is an established technique for fixation of fractures of the distal third tibia. Our study is aimed at management of intra-articular and extra-articular fractures of the distal third tibia by minimally invasive plate osteosynthesis technique by locking compression plate and follow them prospectively. Clinical and radiological outcomes were studied and clinical indications & efficacy of the procedure reviewed. Methods: From June 2012 to May 2014, 22 patients of closed distal tibial metaphyseal fractures were operated by MIPO technique with a distal tibial locking compression plate having 4.5/5 proximal and 3.5/4 distal screw holes. The follow up duration was for 2 years at our hospital. Results: The mean fracture healing time was 5.5 months (range 4-13months). We had 90% of union rate with good ankle movements and walking distance in 75% of the patients. Pos-operatively we had complications of, superficial infection occurred in 2 patients, implant failure in 1 patient leading to non-union and delayed union in 1-patient each. Conclusion: MIPO technique provides good, stable fixation of distal tibial metaphyseal fractures. Although slightly delayed bone healing, MIPO decreases the incidence of non- union and need for bone grafting. This technique should be used in distal tibia fractures where locked nailing cannot be done like fractures with small distal metaphyseal fragments, vertical splits, markedly comminuted fractures and in fractures with intra-articular extension.
机译：背景：由于胫骨的皮下位置，远端胫骨干phy端骨折的治疗一直是一个困难的领域。植入物的暴露已成为这些骨折的切开复位和固定的主要问题。微创钢板固定术（MIPO）是固定的第三胫骨远端骨折的固定技术。我们的研究旨在通过锁定钢板加压微创钢板骨合成技术来治疗第三胫骨远端的关节内和关节外骨折，并对其进行前瞻性随访。研究了临床和放射学结果，并审查了该手术的临床适应症和功效。方法：2012年6月至2014年5月，采用MIPO技术对22例闭合性胫骨干distal端远端闭合骨折患者进行治疗，胫骨远端加压钢板配有4.5 / 5近端和3.5 / 4远端螺丝孔。随访时间在我院为期2年。结果：平均骨折愈合时间为5.5个月（范围4-13个月）。在75％的患者中，我们的联合率为90％，踝关节运动和步行距离良好。在手术中，我们有并发症，2例发生表面感染，1例导致植入失败，导致不愈合和1例患者延迟愈合。结论：MIPO技术可为胫骨干phy端远端骨折提供良好，稳定的固定。尽管MIPO稍微延迟了骨的愈合，但MIPO减少了不愈合的发生率和骨移植的需要。该技术应用于无法进行锁钉的胫骨远端骨折，如远端干phy端小碎片，垂直裂缝，明显粉碎的骨折以及关节内延伸的骨折。

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