Minimally Invasive Percutaneous Plate Osteosynthesis (MIPO) of Distal Tibia Fractures with Anatomical Plate Fixation

Purpose: Minimally invasive percutaneous plate osteosynthesis (MIPO) of distal tibia fractures is a new technique which minimizes soft-tissue compromise and devascularization of fracture fragments. However, the selection of the implant as a bridging plate remains problematic, including malalignment and implant irritation. We present the results of our experience with the anatomical form plate as the fixation device (Form plate; Osteo AG, Selzach, Switzerland) to improve outcome and decrease complications. Methods: 17 patients of the initial 21 enrolled patients completed the study. All patients had an isolated distal tibia fracture and had undergone the MIPO procedure using the anatomical Form plate (mean: 14.5 months), and their clinical and radiographic results were retrospectively reviewed. Results: The average bony union time was 12.2 weeks at follow-up. Most patients showed bony union without malalignment and skin irritation except for two patients who had implant failure due to poor compliance. Conclusions: The anatomical plate is a good alternative implant for the MIPO procedure because it may decrease the possibility of malalignment and complications caused by implant bulking.

並列關鍵字

Minimally invasive percutaneous plaste osteosynthesis

國際替代計量

全文下載

主題瀏覽