Minimally invasive plate osteosynthesis using posterolateral approach for distal tibial and tibial shaft fractures |
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| Institution: | 1. Fukuyama City Hospital Emergency Medical Center, Division of Orthopaedic Trauma, Hiroshima, Japan;2. Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Department of Orthopaedic Surgery, Okayama, Japan;1. Department of Orthopaedic Surgery, University of Missouri, Columbia, USA;2. Comparative Orthopaedic Laboratory, University of Missouri, Columbia, USA;1. Department of Orthopaedic Surgery, The Royal Brisbane and Women’s Hospital, Brisbane, Australia;2. Musculoskeletal Research Unit, Central Queensland University, Rockhampton, Australia;3. University of Queensland, School of Medicine, Brisbane, Australia;4. Department of Trauma, General Hospital of Vienna, Medical University of Vienna, Austria;1. Hannover Medical School (MHH) – Trauma Department, Hannover, Germany;2. Technische Universität Braunschweig, Institute for Robotics and Process Control, Braunschweig, Germany;3. General Hospital Braunschweig, Department of Trauma and Orthopaedic Surgery, Braunschweig, Germany;4. Department of Orthopaedics and Trauma Surgery, University Hospital Aachen, Aachen, Germany;1. Academic Department of Trauma & Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, LS1 3EX Leeds, UK;2. NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, UK;1. Academic Department of Trauma & Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, LS1 3EX Leeds, UK;2. NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, UK;1. Mclaren Greater Lansing, Lansing, MI, United States;2. Michigan Orthopedic Center, Lansing, MI, United States;3. New York Downtown Orthopaedic Associates, New York, NY, United States;4. Ortho Northeast, Fort Wayne, IN, United States |
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| Abstract: | ObjectiveThe objective of the study was to evaluate the effectiveness of the posterolateral minimally invasive plate osteosynthesis (MIPO) method for managing distal tibial or tibial shaft fractures with severe anterior and medial soft tissue injuries.Materials and methodsFive consecutive patients with three distal tibial and two tibial shaft fractures (three open fractures) at a level-1 trauma and tertiary referral center were retrospectively reviewed. All patients were definitively treated and followed to bone union. Main outcome was measured by American Orthopaedic Foot and Ankle Society (AOFAS) ankle–hindfoot score, complications, and bone union on radiographs.ResultsThe average follow-up period was 15.8 months (range, 12–24 months). The average AOFAS score was 88.2 (range, 81–90). There were no complications, such as incision breakdown, deep infection, or impingement of the flexor hallucis longus tendon. Bone union was achieved in all cases.ConclusionsPosterolateral MIPO is a feasible option when treating these fractures, especially in cases with severe anterior and medial soft tissue injuries. |
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| Keywords: | Distal tibial fracture Tibial shaft fracture Posterolateral approach Minimally invasive plate osteosynthesis Staged treatment |
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