Young Mo Kim; Jae Hoon Yang; Dong Kyu Kim

doi:10.12671/jkfs.2007.20.4.315

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Original Article
Minimally Invasive Percutaneous Plate Osteosynthesis Using Periarticular Plate for Distal Tibial Fractures: Young Mo Kim, M.D., Jae Hoon Yang, M.D., Dong Kyu Kim, M.D.; Journal of the Korean Fracture Society 2007;20(4):315-322.
DOI: https://doi.org/10.12671/jkfs.2007.20.4.315
Published online: June 14, 2016

Department of Orthopaedic Surgery, Chungnam National University College of Medicine, Daejeon, Korea.

Address reprint requests to: Young-Mo Kim, M.D. Department of Orthopaedic Surgery, Chungnam National University College of Medicine, 640, Daesa-dong, Jung-gu, Daejeon 301-721, Korea. Tel: 82-42-280-7352, Fax: 82-42-252-7098, osdr69@cnu.ac.kr

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the clinical results of minimally invasive percutaneous plate osteosynthesis using a periarticular plate (Zimmer, Warsaw, IN, USA) for distal tibia fractures.
Materials and Methods
27 patients with distal tibia fractures were treated operatively by minimally invasive percutaneous plate osteosynthesis. The patients were followed for at least 1 year. The duration for bone union, complications after the surgery, the amount of skin irritation at the site of plate insertion was evaluated using the VAS score and the Olerud and Molander ankle score. The average age of the patients was 56 years old (range, 30~81 years) with an average follow up period of 21 months (range, 12~30 months).
Results
The average time from trauma to surgery was 6 days (range, 2~19 days). 10 cases showed an associated distal fibular fracture. The average time for bone fusion was 14 weeks (range, 8~40 weeks) with 1 case of angular deformity with more than 5 degrees. The amount of skin irritation due to the periarticular plate resulted in a VAS score of 2.2 points. Evaluation of the ankle function test showed an average of 90.2 points, resulting in satisfactory.
Conclusion
The periarticular plate used in minimally invasive percutaneous plate osteosynthesis for distal tibia fractures was concluded to give a firm fixation of the fracture site as bony fusion could be acquired without any callus formation, and few skin irritation due to plate has seem to be an advantage.
Key words: Distal tibia, Fracture, Minimally invasive percutaneous plate osteosynthesis (MIPPO), Periarticular plate

REFERENCES

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Fig. 1

A 81 year old woman sustained a fracture of right distal tibia after slip down injury.

(A) A periarticular plate which has at least 4 holes to insert screws above the fractured surface was used.

(B) The plate was inserted between the periosteum and subcutaneous tissue anteromedially started from the medial malleolus of distal tibia.

(C) The location and size of plate, and the reduced fracture site was verified by C-arm.

(D) Percutaneous screw fixation through the medial malleolus of distal tibia region was performed.

(E) Postoperative radiograph shows satisfactory position of screws.

Fig. 2

A 56 year old woman sustained a fracture of right distal tibia after slip down injury.

(A) Preoperative radiograph show right distal tibia fracture.

(B) Postoperative radiograph show the periarticular plate fixed on the fracture site.

(C) Thirty-two week postoperative radiograph after metal removal shows 6° varus angulation deformity.

Fig. 3

A 70 year old man sustained a fracture of left distal tibia after traffic accident.

(A) Preoperative radiograph show left distal tibia fracture.

(B) Postoperative radiograph after minimally invasive percutaneous internal fixation with periarticular plate.

(C) The ninety week postoperative radiograph after metal removal shows stable bony union without any callus formation.

Table 1

Dermographic data of the patients

^*SD: Slip down, ^†TA: Traffic accident, ^‡VAST: Visual Analogue Score (Touch), ^§VASD: Visual Analogue Score (Daily living), ^∥G: Good, ^¶S: Satisfying, ^**U: Unsatisfying

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Minimally Invasive Osteosynthesis with Locking Compression Plate for Distal Tibia Fractures
Sung-Kyu Kim, Keun-Bae Lee, Keun-Young Lim, Eun-Sun Moon
Journal of the Korean Fracture Society.2011; 24(1): 33. CrossRef
Anatomically Percutaneous Wiring Reduction in Minimally Invasive Plate Osteosynthesis for Distal Tibial Fractures
Young-Mo Kim, Chan Kang, Deuk-Soo Hwang, Yong-Bum Joo, Woo-Yong Lee, Jung-Mo Hwang
Journal of the Korean Fracture Society.2011; 24(3): 230. CrossRef
Minimally Invasive Percutaneous Plate Osteosynthesis Using a Lateral Plate in Distal Tibial Fracture
Oog Jin Shon, Dae Sung Kim
Journal of the Korean Fracture Society.2010; 23(1): 42. CrossRef

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Minimally Invasive Percutaneous Plate Osteosynthesis Using Periarticular Plate for Distal Tibial Fractures

J Korean Fract Soc. 2007;20(4):315-322. Published online October 31, 2007

DOI: https://doi.org/10.12671/jkfs.2007.20.4.315

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Minimally Invasive Percutaneous Plate Osteosynthesis Using Periarticular Plate for Distal Tibial Fractures

Fig. 1 A 81 year old woman sustained a fracture of right distal tibia after slip down injury. (A) A periarticular plate which has at least 4 holes to insert screws above the fractured surface was used. (B) The plate was inserted between the periosteum and subcutaneous tissue anteromedially started from the medial malleolus of distal tibia. (C) The location and size of plate, and the reduced fracture site was verified by C-arm. (D) Percutaneous screw fixation through the medial malleolus of distal tibia region was performed. (E) Postoperative radiograph shows satisfactory position of screws.

Fig. 2 A 56 year old woman sustained a fracture of right distal tibia after slip down injury. (A) Preoperative radiograph show right distal tibia fracture. (B) Postoperative radiograph show the periarticular plate fixed on the fracture site. (C) Thirty-two week postoperative radiograph after metal removal shows 6° varus angulation deformity.

Fig. 3 A 70 year old man sustained a fracture of left distal tibia after traffic accident. (A) Preoperative radiograph show left distal tibia fracture. (B) Postoperative radiograph after minimally invasive percutaneous internal fixation with periarticular plate. (C) The ninety week postoperative radiograph after metal removal shows stable bony union without any callus formation.

Fig. 1

Fig. 2

Fig. 3

Minimally Invasive Percutaneous Plate Osteosynthesis Using Periarticular Plate for Distal Tibial Fractures

Table 1

Dermographic data of the patients

^*SD: Slip down, ^†TA: Traffic accident, ^‡VAST: Visual Analogue Score (Touch), ^§VASD: Visual Analogue Score (Daily living), ^∥G: Good, ^¶S: Satisfying, ^**U: Unsatisfying

Table 1 Dermographic data of the patients

^*SD: Slip down, ^†TA: Traffic accident, ^‡VAST: Visual Analogue Score (Touch), ^§VASD: Visual Analogue Score (Daily living), ^∥G: Good, ^¶S: Satisfying, ^**U: Unsatisfying