Treatment in proximal tibial fractures is to obtain early union of Minimally invasive percutaneous plate osteosynthesis technique

  • Forhad S Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka, Bangladesh
  • Ara A Assistant Professor, Department of Obstetrics & Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Siddiqui EH Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Musa SM Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka, Bangladesh
  • Miraj AKA Research Assistant, Department of Vascular Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Hossain MS Assistant Professor, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
Keywords: Proximal tibia fractures, minimally invasive surgical procedure, osteosynthesis

Abstract

Introduction: 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. Methods: This study was conducted in the Department of Orthopaedic Surgery BSMMU from January 2023 to February 2024. This was study a prospective study where 60 patients with proximal tibia fractures were enrolled. Results: 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 10 (16.67%) patients, which resolved with daily dressings and antibiotics. Delayed union occurred in 6 (10%) of patients and nonunion in 2 (3.33%) patients. Wound necrosis found in 4 (4%) patients. Conclusion: 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.

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How to Cite
Forhad, S., Ara, A., Siddiqui, E. H., Musa, S. M., Miraj, A. K. A., & Hossain, M. S. (2025). Treatment in proximal tibial fractures is to obtain early union of Minimally invasive percutaneous plate osteosynthesis technique. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 10(1). Retrieved from https://surgical.medresearch.in/index.php/ijoso/article/view/280
Issue
Vol 10 No 1 (2024): Jan-Dec
Section
Original Article

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