Minimally invasive plate osteosynthesis using posterolateral approach for distal tibial and tibial shaft fractures

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• 作者：Norio Yamamoto^a ; Kenichi Ogawa^a ; ^{rxf04257@nifty.com" class="auth_mail" title="E-mail the corresponding author} ; Chuji Terada^a ; Yoshiki Okazaki^a ; Kazuo Munetomo^a ; Tomoyuki Noda^b ; Toshifumi Ozaki^b
• 关键词：Distal tibial fracture ; Tibial shaft fracture ; Posterolateral approach ; Minimally invasive plate osteosynthesis ; Staged treatment
• 刊名：Injury
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：47
• 期：8
• 页码：1862-1866
• 全文大小：726 K

文摘

The 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 methods

Five 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.

Results

The 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.

Conclusions

Posterolateral MIPO is a feasible option when treating these fractures, especially in cases with severe anterior and medial soft tissue injuries.