Oog Jin Shon; Dae Sung Kim

doi:10.12671/jkfs.2010.23.1.42

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Original Article
Minimally Invasive Percutaneous Plate Osteosynthesis Using a Lateral Plate in Distal Tibial Fracture: Oog Jin Shon, M.D., Dae Sung Kim, M.D.; Journal of the Korean Fracture Society 2010;23(1):42-49.
DOI: https://doi.org/10.12671/jkfs.2010.23.1.42
Published online: January 31, 2010

Department of Orthopaedic Surgery, Yeungnam University College of Medicine, Daegu, Korea.

Address reprint requests to: Oog Jin Shon, M.D. Department of Orthopaedic Surgery, Yeungnam University Hospital, 317-1, Daemyeong-dong, Nam-gu, Daegu 705-717, Korea. Tel: 82-53-620-3645, Fax: 82-53-628-4020, min1913@hanmail.net

• Received: May 18, 2009 • Revised: August 12, 2009 • Accepted: October 25, 2009

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the efficacy of minimally invasive percutaneous plate osteosynthesis (MIPPO) using a lateral plate (Zimmer, Periarticular Lateral Distal Tibial Plates, USA) in distal tibial fracture within 3 cm to plafond, associated with medial soft tissue damage.
Materials and Methods
From January 2005 to December 2007, 15 patients with distal tibial fracture treated by MIPPO technique using a lateral plate were analyzed. The duration of follow-up was more than 1 year. We evaluated union time by simple X-ray, clinical results by IOWA ankle rating system, and complication.
Results
The bone union was achieved in all cases at average 16.7 weeks. Evaluation of the ankle function test showed an average of 90.3 points, resulting in satisfactory. At the last follow-up, there was no non-union, angular deformity more than 5 degrees or infection.
Conclusion
We concluded that MIPPO technique using a lateral plate is a efficient method for high functional recovery with good bone healing and low complication in distal tibial fracture within 3 cm to plafond, associated with medial soft tissue damage.
Key words: Distal tibial fracture, Minimally invasive percutaneous plate osteosynthesis (MIPPO), Lateral plate

REFERENCES

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Fig. 1

(A) The initial film shows a comminuted fracture of the distal tibia with medial open wound.

(B) Lateral plate was inserted anterolaterally through mini skin incision.

(C) The location and size of plate was verified by C-arm.

(D) Postoperative radiograph shows satisfactory position of plate and screws.

Fig. 2

(A) A 64 year old man sustained a right distal tibial fracture (AO/OTA type 43, A3) with medial open wound after traffic accident.

(B) First, lateral malleolar fracture was fixed using MIPPO technique, and bridge external fixator was applied.

(C) After 3 weeks, lateral plate fixation of distal tibia using MIPPO technique was performed, and postoperative radiograph at 1 year after the injury shows solid bony union and satisfactory alignment.

Fig. 3

(A) A 38 year old man sustained an intraarticular fracture of right distal tibia (AO/OTA type 43, C1) after traffic accident.

(B) Medial open wound was showed.

(C) First, lateral malleolar and tibial intraarticular fracture were fixed, and bridge external fixator was applied.

(D) After 1 week, lateral plate fixation of distal tibia using MIPPO technique was performed, and postoperative radiograph shows satisfactory alignment.

Table 1

Patient data

^*G-A: Gustillo-Anderson classification, ^†Ankle scoring: IOWA ankle rating system, ^‡TA: Traffic accident, ^§SD: Slip down, ^∥LOM: Limitation of motion.

Table 2

IOWA ankle rating system

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

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Journal of the Korean Fracture Society.2011; 24(3): 230. CrossRef
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Minimally Invasive Percutaneous Plate Osteosynthesis Using a Lateral Plate in Distal Tibial Fracture

J Korean Fract Soc. 2010;23(1):42-49. Published online January 31, 2010

DOI: https://doi.org/10.12671/jkfs.2010.23.1.42

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Figure

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Minimally Invasive Percutaneous Plate Osteosynthesis Using a Lateral Plate in Distal Tibial Fracture

Fig. 1 (A) The initial film shows a comminuted fracture of the distal tibia with medial open wound. (B) Lateral plate was inserted anterolaterally through mini skin incision. (C) The location and size of plate was verified by C-arm. (D) Postoperative radiograph shows satisfactory position of plate and screws.

Fig. 2 (A) A 64 year old man sustained a right distal tibial fracture (AO/OTA type 43, A3) with medial open wound after traffic accident. (B) First, lateral malleolar fracture was fixed using MIPPO technique, and bridge external fixator was applied. (C) After 3 weeks, lateral plate fixation of distal tibia using MIPPO technique was performed, and postoperative radiograph at 1 year after the injury shows solid bony union and satisfactory alignment.

Fig. 3 (A) A 38 year old man sustained an intraarticular fracture of right distal tibia (AO/OTA type 43, C1) after traffic accident. (B) Medial open wound was showed. (C) First, lateral malleolar and tibial intraarticular fracture were fixed, and bridge external fixator was applied. (D) After 1 week, lateral plate fixation of distal tibia using MIPPO technique was performed, and postoperative radiograph shows satisfactory alignment.

Fig. 1

Fig. 2

Fig. 3

Minimally Invasive Percutaneous Plate Osteosynthesis Using a Lateral Plate in Distal Tibial Fracture

Table 1

Patient data

^*G-A: Gustillo-Anderson classification, ^†Ankle scoring: IOWA ankle rating system, ^‡TA: Traffic accident, ^§SD: Slip down, ^∥LOM: Limitation of motion.

Table 2

IOWA ankle rating system

Table 1 Patient data

^*G-A: Gustillo-Anderson classification, ^†Ankle scoring: IOWA ankle rating system, ^‡TA: Traffic accident, ^§SD: Slip down, ^∥LOM: Limitation of motion.

Table 2 IOWA ankle rating system