Minimally invasive percutaneous plate fixation combined with anatomical plate in treatment of distal tibial fractures.doc

 PAGE \* MERGEFORMAT 9 Minimally invasive percutaneous plate fixation combined with anatomical plate in treatment of distal tibial fractures Of: Caolie Hu, Zhang only, Su Jiacan, pay grid, Liu Xinwei, Yu Baoqing, Xu Shuo expensive, Ji Fang [Abstract] Objective To evaluate the minimally invasive percutaneous plate fixation (MIPPO with anatomical plate in treatment of comminuted fractures of distal tibia clinical effect. Methods 25 cases of distal tibial fracture with distal tibial anatomy of minimally invasive percutaneous plate plate technique (MIPPO treatment. fractures according to AO classification type A in 14 cases, B-2 patients, C-type in 9 cases. Results The patients were followed up 5 to 25 months, an average of l4 months, the wound healed, which 2 cases of delayed healing, are all patients with diabetes. X ray showed callus seen at 12 weeks, no shortening and rotational deformity, look no obvious deformity, knee-ankle-joint function was normal. tibial fractures by Johner Wruhs evaluation standard, excellent in 19 cases, good in 4 cases, 2 cases, good rate of 92%. Conclusion MIPPO combined with anatomical plate in treatment of distal tibial fractures with the advantages of reduced surgical trauma, improve the treatment success rate is conducive to the recovery of limb function in patients. [Keywords:] fracture, internal fixation, anatomical plate Abstract: Objective To investigate the clinical effect of minimally invasive percutaneous plate osteosynthesis (MIPPO and anatomical plate for fixation of distal tibial comminuted fractures.Methods Twenty five cases of distal tibial comminuted fracture were treated with MIPPO technique.According to AO classification, there were 14 cases type A, 2 type B, 9 type C. Results All patients were followed up for 5 ~ 25 months (average 14 months). All fractures were eventually healed.Among them, the recovering of wound delayed in 2 diabetic patients.The radiographic healing was 14 weeks.Fracture reduction w