RADIOLOGICAL AND FUNCTIONAL OUTCOME OF MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS (MIPO) IN CLOSED FRACTURES OF TIBIA

Naeem Ullah; Amjad Ali Mian; Syed Imran Bukhari; Faaiz Ali Shah

doi:10.46903/gjms/22.03.1689

RADIOLOGICAL AND FUNCTIONAL OUTCOME OF MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS (MIPO) IN CLOSED FRACTURES OF TIBIA

Naeem Ullah, Amjad Ali Mian, Syed Imran Bukhari, Faaiz Ali Shah

Abstract

Background: Operative treatment of the distal tibia fractures have higher rate of non-union and infection rates. Minimally Invasive Plate Osteosynthesis (MIPO) is one treatment option with added advantages of minimal soft tissue dissection. In this paper we explained the radiological and functional outcome of closed distal tibial fractures treated by MIPO. The objectives of this study were to determine the radiological and functional outcome of closed tibial fractures treated by Minimally Invasive Plate Osteosynthesis (MIPO).

Material and Methods: This descriptive study was conducted in Orthopaedic Division Lady Reading Hospital Peshawar from 30th July 2021 to 30th June 2023. In this study all patients of distal tibia fracture fulfilling the inclusion criteria were treated with MIPO. Post-operative radiological outcomes was determined using Radiologic Union Scale in Tibia(RUST) and functional outcome using Knee Society Clinical Rating and Olerud-Molander Ankle Score(OMAS) respectively. The data was analyzed with SPSS version 29.

Results: We treated 38 distal tibia fractures with MIPPO. Thirty-three patients were male and 5 females. The mean age was 31±3.2 years (ranged 20 to 60 years). At 9±5.3 months 35(92.1%) patients were radiologically healed with RUST score of 3. At one year 32 (91.42%) patients had excellent outcome and 3 (8.57%) had acceptable outcome using Knee Society Clinical Rating. The Olerude-Molander Ankle score was excellent in 30(85.71%) and good in 5(14.28%) patients.

Conclusion: Minimally Invasive Plate Osteosynthesis (MIPO) produced excellent radiological and functional results in majority of our patients. We therefore recommend MIPO as treatment of first choice for closed distal tibial fractures.

Keywords

Minimal Invasive Plate Osteosynthesis; MIPO; Locking Plate; Radiographic Union Scale in Tibia; RUST.

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References

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DOI: https://doi.org/10.46903/gjms/22.03.1689