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HOME > J Musculoskelet Trauma > Volume 23(1); 2010 > Article
Original Article
Treatment of Proximal Tibia Fractures Using LCP by MIPO Technique
Sang-Ho Ha, M.D., Dong-Hui Kim, M.D., Jun-Young Lee, M.D.
Journal of the Korean Fracture Society 2010;23(1):34-41.
DOI: https://doi.org/10.12671/jkfs.2010.23.1.34
Published online: January 31, 2010

Department of Orthopaedic Surgery, College of Medicine, Chosun University, Gwangju, Korea.

Address reprint requests to: Jun-Young Lee, M.D. Department of Orthopaedic Surgery, Chosun University Hospital, 588, Seosuk-dong, Dong-gu, Gwangju 501-717, Korea. Tel: 82-62-220-3147, Fax: 82-62-226-3379, leejy88@chosun.ac.kr
• Received: February 6, 2009   • Revised: October 7, 2009   • Accepted: November 8, 2009

Copyright © 2010 The Korean Fracture Society

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  • Purpose
    We wanted to evaluate the efficacy of MIPO (minimal invasive plate osteosynthesis) technique by LCP (locking compression plate) for treating proximal tibia fractures.
  • Materials and Methods
    Twenty-three patients, who had operation due to proximal tibia fracture and available for follow up for more than 1 year were included in this study. Cause of injury and accompanied injuries were checked. Operation time, period to bone union, range of joint motion and alignment were evaluated with complications.
  • Results
    Mean bone union time was 13.7 weeks (10~20). Twenty-one cases of the patients showed angulation of less than 5 degrees and 17 cases had normal range of motion. Five cases showed skin irritation by the plate and 2 cases had superficial infection.
  • Conclusion
    LCP by MIPO technique for treating proximal tibia fracture showed excellent results. Delicate technique is required for the proper adjustment of LCP and the alignment of the lower leg.
  • Key words: Proximal tibia, Locking compression plate, Minimal invasive plate osteosynthesis (MIPO)
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Fig. 1
(A, B) 34 year-old male patient sustained AO type A2 fracture, who injuried by pedestrian traffic accident.
(C, D) 11 weeks after the operation, bony union was achieved. There was pain free full weight bearing ambulation.
(E, F) He got a full range of motion of knee.
jkfs-23-34-g001.jpg
Fig. 2
A 55-year-old man with AO type A3 both proximal tibia fracture, who injuried by motor vehicle accident. He is combined with Rt. femur supracondylar fracture.
(A, B, C, D) Both tibia preoperative anteroposterior and lateral radiograph.
(E, F, G, H) The fracture was healed 16 weeks after surgery.
(I) Application of MIPO technique.
jkfs-23-34-g002.jpg
Fig. 3
(A, B) 37 year-old male patient sustained AO type A3 fracture, who injuried by fall from a hight.
(C, D) 12 weeks after the operation, bony union was achieved, And valgus alignment of 6 degrees.
jkfs-23-34-g003.jpg
Table 1
Proximal tibial fractures treated with locking compressive plate using minimally invasive percutaneous osteosynthesis technique
jkfs-23-34-i001.jpg

*In injury mechanism, there were FH (fall from a height), DS (direct stroke), M-TA (motor cycle accident), C-TA (in car accident), and P-TA (pedestrian traffic accident), †Dual plating, ‡Narrow LCP.

Table 2
Radiologic alignment of knee
jkfs-23-34-i002.jpg
Table 3
Knee ROM
jkfs-23-34-i003.jpg

ROM: Range of motion.

Table 4
Schatzker and lambert assessment
jkfs-23-34-i004.jpg
Table 5
The results of the schatzker and lambert assessment
jkfs-23-34-i005.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • EVALUATION OF FUNCTIONAL OUTCOME OF SURGICAL TREATMENT FOR FRACTURE AROUND KNEE WITH LOCKING PLATE
      VIKAS KUNTWAD, AMOL WAGH, SATYAJEET A HORE
      Asian Journal of Pharmaceutical and Clinical Research.2023; : 213.     CrossRef
    • Medial Minimally Invasive Percutaneous Plate Osteosynthesis in Proximal Tibial Comminuted Fractures
      Jae-Ang Sim, Kwang-Hui Kim, Yong-Seuk Lee, Sang-Jin Lee, Beom-Koo Lee
      Journal of the Korean Orthopaedic Association.2014; 49(4): 278.     CrossRef
    • Minimally Invasive Percutaneous Plate Stabilization Using a Medial Locking Plate for Proximal Tibial Fractures - Technical Note -
      Jae Ang Sim, Beom Koo Lee, Kwang Hui Kim, Yong Seuk Lee
      Journal of the Korean Fracture Society.2013; 26(4): 327.     CrossRef

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      Treatment of Proximal Tibia Fractures Using LCP by MIPO Technique
      J Korean Fract Soc. 2010;23(1):34-41.   Published online January 31, 2010
      DOI: https://doi.org/10.12671/jkfs.2010.23.1.34
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    Treatment of Proximal Tibia Fractures Using LCP by MIPO Technique
    Image Image Image
    Fig. 1 (A, B) 34 year-old male patient sustained AO type A2 fracture, who injuried by pedestrian traffic accident. (C, D) 11 weeks after the operation, bony union was achieved. There was pain free full weight bearing ambulation. (E, F) He got a full range of motion of knee.
    Fig. 2 A 55-year-old man with AO type A3 both proximal tibia fracture, who injuried by motor vehicle accident. He is combined with Rt. femur supracondylar fracture. (A, B, C, D) Both tibia preoperative anteroposterior and lateral radiograph. (E, F, G, H) The fracture was healed 16 weeks after surgery. (I) Application of MIPO technique.
    Fig. 3 (A, B) 37 year-old male patient sustained AO type A3 fracture, who injuried by fall from a hight. (C, D) 12 weeks after the operation, bony union was achieved, And valgus alignment of 6 degrees.

    Fig. 1

    Fig. 2

    Fig. 3

    Treatment of Proximal Tibia Fractures Using LCP by MIPO Technique

    Proximal tibial fractures treated with locking compressive plate using minimally invasive percutaneous osteosynthesis technique

    *In injury mechanism, there were FH (fall from a height), DS (direct stroke), M-TA (motor cycle accident), C-TA (in car accident), and P-TA (pedestrian traffic accident), †Dual plating, ‡Narrow LCP.

    Radiologic alignment of knee

    Knee ROM

    ROM: Range of motion.

    Schatzker and lambert assessment

    The results of the schatzker and lambert assessment
    Table 1 Proximal tibial fractures treated with locking compressive plate using minimally invasive percutaneous osteosynthesis technique

    *In injury mechanism, there were FH (fall from a height), DS (direct stroke), M-TA (motor cycle accident), C-TA (in car accident), and P-TA (pedestrian traffic accident), †Dual plating, ‡Narrow LCP.

    Table 2 Radiologic alignment of knee

    Table 3 Knee ROM

    ROM: Range of motion.

    Table 4 Schatzker and lambert assessment

    Table 5 The results of the schatzker and lambert assessment

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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