MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS OF THE DISTAL TIBIA - COMPARISON OF TWO DIFFERENT IMPLANTS
Keywords:
MIPLPO, timing of surgery, deformity, range of motionAbstract
Minimally invasive percutaneous locking plate osteosynthesis (MIPLPO) enables widening of indication area for using locking plates in the distal tibia region. Timing of surgery, appearance of deformity on X-ray, postoperative pain and the loss of range of motion were analyzed between two groups of patients. Preliminary results showed statistically significant advantage in shortening the operative time, appearance of deformity on X-ray, as well as improving the range of motion in patients treated with MIPLPO technique. Patients treated with MIPLPO technique showed statistically significantly better results compared to those treated with MIPPO technique.
References
MacKenzie EJ, Bosse MJ, Kellam JF, Pollak AN, Webb LX, Swiontkowski MF, et al. Early predictors of long-term work disability after major limb trauma. J Trauma 2006; 61(3): 688-694. doi: 10.1097/01.ta.0000195985.56153.68.
Tscherne H, Gotzen L. Fractures with soft tissue injuries. Springer, Berlin, Heidelberg New York 1984.
Helfet DL, Shonnard PY, Levine D, Borrelli J Jr. Minimally invasive plate osteosynthesis of distal fractures of the tibia. Injury 1997; 28(Suppl 1): A42-7; discussion A47-8. doi: 10.1016/s0020-1383(97)90114-5.
Perren SM. Evolution of the internal fixation of long bone fractures. J Bone Joint Surg (Br) 2002;84-B:1093-1100. doi: 10.1302/0301-620x.84b8.13752.
Mast J, Jakob R, Ganz R. Planning and reduction technique in fracture surgery. Berlin Heidelberg New York: Springer-Verlag , 1989
Brunner Ch F, Weber GB. Besondere Osteosynthesetechniken. Berlin Heidelberg New York: Springer, 1981
Muller M, Nazarian S, Koch P, Schatzker J. The comprehensive classification for fractures of long bones. Springer, Berlin Heidelberg New York 1990.
Schell H, Duda GN, Peters A, Tsitsilonis S, Johnson KA, Schmidt-Bleek K. The haematoma and its role in bone healing. J Exp Orthop 2017; (1): 5. doi: 10.1186/s40634-017-0079-3.
Kolar P, Schmidt-Bleek K, Schell H, Gaber T, Toben D, Schmidmaier G, et al. The early fracture hematoma and its potential role in fracture healing. Tissue Eng Part B Rev 2010. 16(4): 427-434. doi: 10.1089/ten.TEB.2009.0687.
Babst R, Bavonratanavech S, Pesantez R. Minimally invasive plate osteosynthesis. 2nd ed. Thieme Verlag, Stuttgart, 2012.
Vattolo M. Der einfluss von rillen in osteosyntheseplatten auf den umbau der kortikalis. Univerzitat Bern 1986.
Wolf J. Das Gesetz der transformation der knochen. Berlin: Verlag von August Hirschwald, 1982.
Huiskes R. If bone is the answer, then what is the question? J Anat 2000; 197(Pt 2): 145-156. doi: 10.1046/j.1469-7580.2000.19720145.x.
Gautier E, Perren SM. Die limited contact dynamic compression plate (LC-DCP): Biomechanischeforschungalsgrundlage des neuen plattendesigns. Orthopaede 1992; 21(1): 11-23. PMID: 1549332.
Perren SM, Boitzy A. Cellular differentiation and bone biomechanics during the consolidation of a fracture. Anat Clin 1978; 1: 13-28. PMID: 376198.
Gagnon RF, Richards GK. A mouse model of implant-associated infection. Int J Artif Organs 1993;1611:789-798. PMID: 8150525
Borg T, Larsson S, Lindsjo U. Percutaneous plating of distal tibia fractures. Preliminary results in 21 patients. Injury. 2004;35:608-614. DOI: 10.1016/j.injury.2003.08.015
Francois J, Vandeputte G, Verheyden F, et al. Percutaneous plate fixation of fractures of the distal tibia. Acta Orthop Belg. 2004;70:148-154. PMID: 15165017
Orthopedic Trauma Association. Fracture and dislocation compendium. J Orthop Trauma. 1996;10:66-70. PMID: 8814583
Oh CW, Kyung HS, Park IH, et al. Distal tibia metaphyseal fractures treated by percutaneous plate osteosynthesis. Clin Orthop. 2003;408:286-291. DOI: 10.1097/00003086-200303000-00038
Pai V, Coulter G, Pai V. Minimally invasive plate fixation of the tibia. Int Orthop. 2007;31:491-496. DOI: 10.1007/s00264-006-0228-2
Mosheiff R, Safran O, Segal D, Liebergall M. Theunreamed tibial nail in the treatment of distal metaphyseal fractures. Injury 1999; 30(2): 83-90. doi: 10.1016/s0020-1383(98)00213-7.
Larsen LB, Madsen JE, Hoiness PR, Ovre S. Should insertion of intramedullary nails for tibial fractures be with or without reaming? A prospective, randomized study with 3,8 years follow-up. J Orthop Trauma 2004; 18(3): 144-149. doi: 10.1097/00005131-200403000-00003.
IM GI, Tae SK. Distal metaphyseal fractures of the tibia: A prospective randomized trial of closed reduction and intramedullary nail versus open reduction and plate and screws fixation. J Trauma 2005; 59(5): 1219-1223. doi: 10.1097/01.ta. 0000188936.797 98.4e
Yang SW, Tzeng HM, Chou YJ, Teng HP, Liu HH, Wong CY. Treatment of distal tibial metaphyseal fractures: Plating versus shortened intramedullary nailing. Injury 2006; 37(6): 531-535. doi: 10.1016/j.injury.2005.09.013.
Nork SE, Schwartz AK, Agel J, Holt SK, Schrick JL, Winquist RA. Intramedullary nailing of distal metaphyseal tibial fractures. J Bone Joint Surg 2005; 87(6): 1213-1220. doi: 10.2106/JBJS.C.01135.
Tyllianakis M, Megas P, Giannikas D, Lambiris E. Interlocking intramedullary nailing in distal tibia fractures. Orthopedics. 2000; 23(8): 805-808. doi: 10.3928/0147-74 47-20000801-13.