Key words: distal tibial, intramedullary nailing, fractures, minimally invasive plate osteosynthesis introduction correspondence to dr muhammad imran email: the tibia is long bone which was located in the lower. Minimally invasive why not plates •to successfully nail a distal tibia fracture (below the isthmus) –reduce the fracture –maintain reduction –ream with reduction maintained –place nail across reduced fracture –interlock with reduction maintained •not always easy. College 30 patients who had distal tibia fractures who met the selection criteria were treated with minimally invasive percutaneous plating during the period from may 2013 to november 2014 were included in the study. Based on our study, we conclude that both minimally invasive percutaneous plate osteosynthesis (mippo) with a medial distal tibial locking plate and closed reduction with intramedullary nailing are viable options for management of extra-articular fractures of the distal tibia, with each having its own merits and demerits. Introduction: the treatment of fractures of proximal and distal tibia is challenging, because of the limited soft tissue envelope and poor vascularity the best treatment remains stability and preserves vascularity around the fractures the principles of this minimally invasive technique include indirect closed reduction, extraperiosteal.
The fractures of the distal tibia represent 7-10% of all tibial fractures and they usually are the result of high energy injuries as such as traffic accidents or fall from a height in these cases the axial compression causes complex articular fractures characterized by metaphysis break and bone loss. Preoperative planning is an essential part of treatment of all distal tibial fractures it consists of: for distal fractures and osteoporosis, locking head screws (lhs) may be more stable distally minimally invasive surgery mipo of distal tibia fractures. The tibia, or shinbone, is the most commonly fractured long bone in the body a tibial shaft fracture occurs along the length of the bone, below the knee and above the ankle it typically takes a major force to cause this type of broken leg motor vehicle collisions, for example, are a common cause. Abstract background: the management of distal tibia fractures continues to remain a source of controversy and debate objectives: the aim of this study was to evaluate the various complications of minimally invasive percutaneous plate osteosynthesis (mippo) using a locking plate for closed fractures of distal tibia in a retrospective study patients and methods: twenty-five patients with.
Distal tibia fracture has been treated in various manners, including intramedullary nailing (imn), external fixation, orif, and minimally invasive plate osteosynthesis. Background double plating of proximal tibial fractures with traditional open osteosynthesis gives a stable fixation, but may be complicated by wound healing problems minimally invasive methods have been recommended to decrease the wound complication rates we report the efficacy of double plating. And radiographic results of 26 distal tibial fractures that have been plated with minimally invasive techniques performed or supervised by the senior surgeon (vp) and. Minimally invasive osteosynthesis of distal tibial fractures using locking plates marioronga, mda, chezhiyan shanmugam, mdb, umilegiuseppelongo, mdc,francescooliva,md,phdd, nicolamaffulli,md,ms,phd,frcs(orth)e, surgical fixation of distal tibia fractures can be. Lateral minimally invasive plate osteosynthesis using anterolateral locking plate in distal tibial fractures jae jung jeong my disclosure is in the final aofas mobile app.
Minimally invasive plate osteosynthesis for tibial pilon fractures (case series) abstract background fractures of the tibial plafond are rare injuries that present a challenge as to their best method of management. The distal segment of the tibia is classified as ‘43’ and divided into three types as follows: type a, extraarticular fractures type b, partial articular fractures, which maintain some continuity between the shaft and the articular surface and type c, complete articular fractures. The hypothesis of this study was that lateral minimally invasive plate osteosynthesis (mipo) would be comparable with medial mipo with regard to clinical and radiographic results the purpose of this study was to compare the results of medial and lateral mipo for treatment of distal tibial fractures. Type v fractures are termed bicondylar and demonstrate wedge fractures of both the medial and lateral tibial plateaus finally, type vi fractures consist of a type v fracture along with a fracture of the underlying diaphysis and/or metaphysis. It means the outside of the ankle bone (fibula) is broken at the level of the ankle joint, and can extend outward and sometimes upward the other side of the ankle can sometimes be sprained or have a fracturethe danis weber classifications help guide treatment type a fractures might do well with a.
70 sohn et al lateral mipo for open distal tibial fracture clinics in orthopedic surgery • vol 3, no 1, 2011 • wwweciosorg and four women the average follow-up period was 148 months (range, 12 to 23 months) and the causes of the. Approach to acute ankle injury: does this patient have a fracture brandon auerbach, hms iii monday february 22, 2010 (fracture of distal posterior tibia) weber classification of ankle fractures •minimally displaced oblique fracture through the distal fibula, weber class b. Minimally invasive percutaneous plate osteosynthesis for ankle fractures managing open distal tibia fractures: tips and tricks distal tibia 43 a1 percutaneous plating lcp distal tibia. A bone fracture (sometimes abbreviated frx or fx, f x, or #) is a medical condition in which there is a partial or complete break in the continuity of the bone toddler's fracture – an undisplaced and spiral fracture of the distal third to distal half of the tibia. Nail and minimally-invasive percutaneous plate minimally invasive percutaneous plate osteosynthesis (mippo) offers biological advantages and require reduced soft tissue dissection and thus results in low surgical trauma outcome of distal tibia fractures treated using mipp0 with a locking compression plate.
Locking compression plate with minimally invasive plate osteosynthesis in diaphyseal and distal tibial fracture: a retrospective study of 32 patients in the past diaphyseal and distal tibia fractures have usually been treated by closed intramedullary nailing or by the classic open approach with plates (orif. Tibial pilon fractures are challenging to treat, as they distal tibial fractures often present a challenge to the orthopaedic surgeon destot first used the term in 1911, minimally displaced or undisplaced in contrast high-energy injuries such as those following road. We studied the outcome of minimally invasive percutaneous plate osteosynthesis (mippo) using locking plate for closed fractures of distal tibia in a consecutive study consisting of 25 patients preoperative variables were age of patient, mode of trauma, type of fracture, and soft tissue status.
• minimally invasive fixation is a preferred procedure (ao advanced course 2002, queenstown) distal tibial fractures: ao classification ((p )9 patients) fracture distal end of the tibia (ao h i l ifi i )(ao comprehensive classification) a1 = 0 a2 =1 a1 a2 a3 = 1. Distal tibia fracture has been treated in various manners, including intramedullary nailing (imn), external fixation, orif, and minimally invasive plate osteosynthesis (mipo) one of the more readily used methods for fixation of distal tibia fractures is antegrade imn. The surgical method of repairing distal tibial fractures remains controversial open reduction and plating is a popular method that can result in good fixation and retention of the achieved.