Minimally invasive percutaneous plate osteosynthesis technique in proximal tibia fractures

Abstract

Treatment options in proximal tibia fractures vary from closed reduction, cast immobilization, nailing to open reduction and internal fixation with plating. We conducted a study on management of these fractures by using minimally invasive plate osteosynthesis (MIPO) technique. The aim of this study was to evaluate the efficacy of minimally invasive plate osteosynthesis (MIPO) technique in the management of proximal tibia fractures. This study was conducted in the Department of Orthopaedics of Govt. Medical College Srinagar. This was study a prospective study where 30 patients with proximal tibia fractures were enrolled. Mean age of patients was 47.23 years (range 20-70 years). The enrolled patients were evaluated from the emergency department. The mean operative time was 49.57 minutes. Mean time for radiological union was 15.6 weeks. Superficial wound infection was found in 5(16.67%) patients, which resolved with daily dressings and antibiotics. Delayed union occurred in 3(10%) of patients and nonunion in 1(3.33%) patients. Wound necrosis found in 2(4%) patients. Minimally invasive plate osteosynthesis (MIPO) technique in the treatment of proximal tibia fractures gives stable as well as optimal internal fixation and complete recovery of limb function at an early stage with minimal risk of complications.