Functional outcome of minimally invasive plate osteosynthesis (MIPO) in proximal tibial fractures
Abstract
Introduction: This study is undertaken to evaluate the outcome of the MIPO technique in Proximal Tibial Condyle Fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, fewer complications, and a better quality of life.
Material and methods: Study design: Prospective cohort study carried out at C.U Shah Medical College. 30 cases of proximal tibia fractures (Schatzker type 1- VI) operated with the MIPO technique. Follow-up of these patients was done at 6 months and 9 months after surgery by using Sanders's 40-point functional scale.
Results: There were 16 cases of Schatzker type I fractures, 5 cases of Type II, 4 cases of type III, 2 cases of type IV, 1 case of type V and 2 cases of type VI fractures. The healing process was determined by radiographically and functionally. Meantime to union was 17.6 weeks, with 50 % of fractures uniting in 14-16 weeks. Infection was observed in two cases (10%), two cases of collapse of fracture, and two cases of malunion. Sanders's score was applied to analyze the functional outcome among the cases. 63% of patients had excellent performance, 20% had good results, 13% had fair results and one patient performed poorly.
Conclusion: MIPO is a good technique to stabilize the proximal tibia condyle fractures especially when used with meticulous intraoperative handling of soft tissues.
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