Staged protocol in treatment of open distal tibia fracture: using lateral MIPO

To evaluate the radiological, clinical results in patients with open distal tibia factures, who were treated with a staged treatment protocol using the lateral minimally invasive plate osteosynthesis (MIPO) technique. From January 2007 to June 2009, 10 patients with open distal tibia fractures (Gust...

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Bibliographic Details
Published in:Clinics in orthopedic surgery 2011, 3(1), , pp.69-76
Main Authors: Sohn, Oog Jin, Kang, Dong Hwa
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Ankle
Ankle Injuries - surgery
Bone grafts
Bone healing
Bone Transplantation
Classification
Clinical Protocols
Debridement
External Fixators
Female
Fracture Fixation, Internal - methods
Fractures
Fractures, Open - surgery
Humans
Injuries
Joints
Male
Middle Aged
Negative-Pressure Wound Therapy
Nonunion
Original
Osteosynthesis
Recovery of function
Therapeutic Irrigation
Tibia
Tibial Fractures - surgery
Treatment Outcome
Wound infection
정형외과학
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Summary:To evaluate the radiological, clinical results in patients with open distal tibia factures, who were treated with a staged treatment protocol using the lateral minimally invasive plate osteosynthesis (MIPO) technique. From January 2007 to June 2009, 10 patients with open distal tibia fractures (Gustilo-Anderson classification II, 3; IIIA, 1; IIIB, 6) were treated using a staged treatment protocol. The initial debridement and application of an external fixator were performed within 24 hours and the mean interval from injury to definitive surgical treatment was 15 days (range, 6 to 52 days). Eight weeks later, an additional bone graft was performed in 3 patients. The follow-up duration was more than 1 year. The mean fracture healing time was 21 weeks (range, 17 to 28 weeks), and the average Iowa ankle rating score was 84.5 points. At the last follow-up, there was no non-union, angular deformity > 5°, shortening > 10 mm or infection. In 10 patients, 2 patients had a superficial wound infection, and another 2 patients showed limitation of ankle joint motion. This staged treatment protocol using a lateral MIPO technique is a useful alternative method for achieving high functional recovery with good healing and low complication rates in patients with an open distal tibia fracture.
ISSN:2005-291X
2005-4408
DOI:10.4055/cios.2011.3.1.69