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HOME > J Musculoskelet Trauma > Volume 25(1); 2012 > Article
Original Article
Comparative Analysis of Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Intramedullary Nailing in Distal Tibial Metaphyseal Fractures
Gwang Chul Lee, M.D., Jun Young Lee, M.D., Sang Ho Ha, M.D., Hong Moon Sohn, M.D., Yi Kyu Park, M.D.
Journal of the Korean Fracture Society 2012;25(1):20-25.
DOI: https://doi.org/10.12671/jkfs.2012.25.1.20
Published online: January 31, 2012

Department of Orthopaedic Surgery, College of Medicine, Chosun University Hospital, 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: May 24, 2011   • Revised: August 13, 2011   • Accepted: November 8, 2011

Copyright © 2012 The Korean Fracture Society

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  • Purpose
    To compare results between minimally invasive plate osteosynthesis using a periarticular plate and intramedullary nailing in distal tibial metaphyseal fractures in two treatment groups.
  • Materials and Methods
    Sixty-one cases of distal tibial metaphyseal fractures from December 2008 to December 2009 were evaluated. The minimal follow-up period was 12 months. Thirty patients treated by minimally invasive plate osteosynthesis using a periarticular plate were Group A; 31 patients treated by intramedullary nailing were Group B. We compared and analyzed the results of each group by radiological and clinical assessments.
  • Results
    The mean bony union time was 16.4 weeks in Group A and 17.2 weeks in Group B. The mean operation time was 45 minutes in Group A and 48 minutes in Group B. The mean radiation exposure times were 4.2 minutes and 4.8 minutes, respectively. VAS scores were 0.7 points and 0.5 points in each respective group. In Group A, the VAS score was 1.7 points when we applied pressure on the skin around the plate. The mean Olerud and Molander Ankle Score was 87.4 points and 86.3 points, respectively. A superficial wound infection occurred in 1 case in each group, and angular deformities more than 5 degrees occurred in 2 Group B cases.
  • Conclusion
    No significant differences in results were observed between the two groups. However, a higher incidence of angular deformity was seen in the intramedullary nailing group. Therefore, we must be careful during surgery.
  • Key words: Distal tibial metaphyseal fractures, Minimally invasive plate osteosynthesis (MIPO), Intramedullary nailing
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Fig. 1
The fluoroscopic X-rays reveals joy stick method that parallel K-wire fixation on distal tibia for more accurate reduction during insertion of ball-tip guide wire and reaming of the medullary canal (In this case, excute conservative treatment about fibular fracture).
jkfs-25-20-g001.jpg
Fig. 2
The fluoroscopic X-rays (A~D) reveal using the poller screw for accurate insertion nail. Postoperative X-ray, (E) anteroposterior, and (F) lateral view.
jkfs-25-20-g002.jpg
Table 1
Distal tibial fracture pattern (AO classification) and combined fibular fractures between Group A and B
jkfs-25-20-i001.jpg
Table 2
Distance between Ankle articular surface and fracture site between Group A and B
jkfs-25-20-i002.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 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

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      Comparative Analysis of Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Intramedullary Nailing in Distal Tibial Metaphyseal Fractures
      J Korean Fract Soc. 2012;25(1):20-25.   Published online January 31, 2012
      DOI: https://doi.org/10.12671/jkfs.2012.25.1.20
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    Comparative Analysis of Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Intramedullary Nailing in Distal Tibial Metaphyseal Fractures
    Image Image
    Fig. 1 The fluoroscopic X-rays reveals joy stick method that parallel K-wire fixation on distal tibia for more accurate reduction during insertion of ball-tip guide wire and reaming of the medullary canal (In this case, excute conservative treatment about fibular fracture).
    Fig. 2 The fluoroscopic X-rays (A~D) reveal using the poller screw for accurate insertion nail. Postoperative X-ray, (E) anteroposterior, and (F) lateral view.

    Fig. 1

    Fig. 2

    Comparative Analysis of Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Intramedullary Nailing in Distal Tibial Metaphyseal Fractures

    Distal tibial fracture pattern (AO classification) and combined fibular fractures between Group A and B

    Distance between Ankle articular surface and fracture site between Group A and B
    Table 1 Distal tibial fracture pattern (AO classification) and combined fibular fractures between Group A and B

    Table 2 Distance between Ankle articular surface and fracture site between Group A and B

    Table 1

    Table 2

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