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HOME > J Musculoskelet Trauma > Volume 21(4); 2008 > Article
Original Article
A Comparison between Minimally Invasive Plate Osteosynthesis & Interlocking Intramedullary Nailing in Distal Tibia Fractures
Kee-Byung Lee, M.D., Si-Young Song, M.D., Duek-Joo Kwon, M.D., Yong-Beom Lee, M.D., Nam-Kyou Rhee, M.D., Jun-Ha Choi, M.D.
Journal of the Korean Fracture Society 2008;21(4):286-291.
DOI: https://doi.org/10.12671/jkfs.2008.21.4.286
Published online: October 31, 2008

Department of Orthopedic Surgery, Hallym University Sacred Hospital, College of Medicine, Hallym University, Anyang, Korea.

Address reprint requests to: Si-Young Song, M.D. Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, 896, Pyeongan-dong, Dongan-gu, Anyang 431-796, Korea. Tel: 82-31-380-1814, Fax: 82-31-382-1814, sysong@hallym.or.kr
• Received: February 10, 2008   • Revised: June 15, 2008   • Accepted: September 22, 2008

Copyright © 2008 The Korean Fracture Society. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    To compare the effectiveness between minimally invasive plate osteosynthesis (MIPO) and interlocking IM nailing in the treatment of distal tibia fracture without involvement of ankle joint retrospectively.
  • Materials and Methods
    38 patients with distal tibia fracture from Jan. 2004 to Oct. 2005 were divided into two groups. Minimum follow-up was for 12 months. Group MIPO consisted of 18 patients were treated with MIPO and group Nail consisted of 20 patients were treated with interlocking intramedullary nail. The results were compared between two groups by assessing bony union time and operation time. Clinical evaluation was evaluated by Olerud score.
  • Results
    The mean bony union time was 14.4 weeks (12~17 weeks) in group MIPO and 16.7 weeks (13~19 weeks) in group Nail (p=0.011). The mean operation time was 1.05 hours (0.6~1.6 hours) in group MIPO and 0.74 hours (0.4~1.1 hours) in group Nail (p=0.044). The Olerud score was 83.8 (75~100) in group MIPO and was 89.6 (70~100) in group Nail (p=0.075). In Complication, group MIPO showed one metal failure and two skin irritations, group Nail showed three superficial wound infections.
  • Conclusion
    MIPO was the shorter bony union time and the longer operation time than the interlocking intramedullary nailing. There were no significant differences between the two groups in clinical results.
  • Key words: Distal tibia fracture, Minimally invasive plate osteosynthesis (MIPO), Interlocking intramedullary nailing
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  • 9. Na HY, Park YJ, Ko SH, Choi WS, Lee YS, Yoon KD. Comparative analysis of interlocking IM nailing and LC-DCP fixation in the treatment of distal tibial fracture. J Korean Soc Fract, 2002;15:152-158.
  • 10. Oh CW, Kyung HS, Park IH, Kim PT, Ihn JC. Distal tibial metaphyseal fractures treated by percutaneous plate osteosynthesis. Clin Orthop Relat Res, 2003;408:286-291.
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  • 14. Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop Relat Res, 1993;292:108-117.
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Fig. 1

(A) The initial radiographs of 60 year-old female show distal fracture without involvement of ankle joint (AP & Lateral view).

(B) The clinical photo shows the insertion of LCP DMP through subcutaneous tunnel of the distal tibia and fixation of the plate with screws.
(C) Bone union was obtained in 15 weeks after LCP DMP with interfragmentary fixation (AP & Lateral view).
jkfs-21-286-g001.jpg
Fig. 2

(A) The initial radiographs of 54 year-old male show distal fracture without involvement of ankle joint (AP & Lateral view).

(B) Bone union was obtained in 16 weeks after interlocking IM nail fixation (AP & Lateral view).
jkfs-21-286-g002.jpg
Fig. 3

The patient had a good bone union and excellent function, but complained skin irritation around medial aspect of ankle joint even if we used the Locking Compression Plate Distal Medial Tibia Plate (LCP DMT).

jkfs-21-286-g003.jpg
Table 1

Demographics of reported cases

jkfs-21-286-i001.jpg

*MIPO: Minimally invasive plate osteosynthesis, †IM nailing: Intramedullary nailing

Table 2

Olerud score

jkfs-21-286-i002.jpg
Table 3

Results summary

jkfs-21-286-i003.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Comparative Analysis of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing in the Treatment of the Distal Tibia Fractures
      Ho-Min Lee, Young-Sung Kim, Jong-Pil Kim, Phil-Hyun Chung, Suk Kang, Kaung Suk Jo
      Journal of the Korean Fracture Society.2018; 31(3): 94.     CrossRef
    • A Rehabilitation for Ankle Fracture in Korean Medicine: A Report of 4 Cases
      Won-Bae Ha, Jong-Ha Lee, Yoon-Seung Lee, Dong-Chan Jo, Jin-Hyun Lee, Jung-Han Lee
      Journal of Korean Medicine Rehabilitation.2017; 27(4): 171.     CrossRef
    • Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures
      Jung-Han Kim, Heui-Chul Gwak, Chang-Rack Lee, Yang-Hwan Jung
      Journal of Korean Foot and Ankle Society.2015; 19(3): 86.     CrossRef
    • Intramedullary Nailing of Distal Tibial Fractures with Percutaneous Reduction by Pointed Reduction Forceps
      Jae-Kwang Hwang, Chung-Hwan Kim, Young-Joon Choi, Gi-Won Lee, Hyun-Il Lee, Tae-Kyung Kim
      Journal of the Korean Fracture Society.2014; 27(2): 144.     CrossRef
    • A Comparison of the Results between Intramedullary Nailing and Minimally Invasive Plate Osteosynthesis in Distal Tibia Fractures
      Chul-Hyun Park, Chi-Bum Choi, Bum-Jin Shim, Dong-Chul Lee, Oog-Jin Shon
      Journal of the Korean Orthopaedic Association.2014; 49(4): 285.     CrossRef
    • Analysis of the Result Treated with Locking Compression Plate-Distal Tibia and Zimmer Periarticular Locking Plate in Distal Tibia Fracture
      Jun-Young Lee, Sang-Ho Ha, Sung-Won Cho, Sung-Hae Park
      Journal of the Korean Fracture Society.2013; 26(2): 118.     CrossRef

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      A Comparison between Minimally Invasive Plate Osteosynthesis & Interlocking Intramedullary Nailing in Distal Tibia Fractures
      J Korean Fract Soc. 2008;21(4):286-291.   Published online October 31, 2008
      DOI: https://doi.org/10.12671/jkfs.2008.21.4.286
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    A Comparison between Minimally Invasive Plate Osteosynthesis & Interlocking Intramedullary Nailing in Distal Tibia Fractures
    Image Image Image
    Fig. 1 (A) The initial radiographs of 60 year-old female show distal fracture without involvement of ankle joint (AP & Lateral view). (B) The clinical photo shows the insertion of LCP DMP through subcutaneous tunnel of the distal tibia and fixation of the plate with screws. (C) Bone union was obtained in 15 weeks after LCP DMP with interfragmentary fixation (AP & Lateral view).
    Fig. 2 (A) The initial radiographs of 54 year-old male show distal fracture without involvement of ankle joint (AP & Lateral view). (B) Bone union was obtained in 16 weeks after interlocking IM nail fixation (AP & Lateral view).
    Fig. 3 The patient had a good bone union and excellent function, but complained skin irritation around medial aspect of ankle joint even if we used the Locking Compression Plate Distal Medial Tibia Plate (LCP DMT).

    Fig. 1

    Fig. 2

    Fig. 3

    A Comparison between Minimally Invasive Plate Osteosynthesis & Interlocking Intramedullary Nailing in Distal Tibia Fractures

    Demographics of reported cases

    *MIPO: Minimally invasive plate osteosynthesis, †IM nailing: Intramedullary nailing

    Olerud score

    Results summary
    Table 1 Demographics of reported cases

    *MIPO: Minimally invasive plate osteosynthesis, †IM nailing: Intramedullary nailing

    Table 2 Olerud score

    Table 3 Results summary

    Table 1

    Table 2

    Table 3

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