[article] 
inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 224-233

Titre :	Minimally Invasive Plate Osteosynthesis (MIPO) technique for complex tibial shaft fracture
Type de document :	texte imprimé
Auteurs :	Sungwook Choi
Année de publication :	2019
Article en page(s) :	p. 224-233
Langues :	Anglais (eng)
Mots-clés :	Fracture complexe de la diaphyse tibiale  Ostéosynthèse mini-invasive par plaques  Fixation externe temporaire  Plaque de compression verrouillable  Fixateurs externes  MIPO
Résumé :	To evaluate the clinical and radiological results of the treatment of complex tibial shaft fracture (AO/OTA type 42-C) with minimally invasive plate osteosynthesis(MIPO). Twenty patients diagnosed with complex tibial shaft fracture without extension to the articular surface and treated with MIPO, including 9 cases of AO/ OTA type 42-C2 and 11 cases of AO/OTA type 42-C3, 6 of which were open fractures. External fixation was used for open fractures until the soft tissue damage had healed; then, 2nd stage operation with MIPO was performed to stabilize the fracture. Each patient was followed up for a minimum of 12 months. The mean time to union was 20.1 weeks. Delayed union was observed in 4 cases. Angular deformity, length shortening and non-union were not observed. Severely comminuted and open fractures of the tibial shaft may benefit from temporary external fixation prior to performing MIPO.
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[article] Minimally Invasive Plate Osteosynthesis (MIPO) technique for complex tibial shaft fracture [texte imprimé] / Sungwook Choi . - 2019 . - p. 224-233.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 224-233

Mots-clés :	Fracture complexe de la diaphyse tibiale  Ostéosynthèse mini-invasive par plaques  Fixation externe temporaire  Plaque de compression verrouillable  Fixateurs externes  MIPO
Résumé :	To evaluate the clinical and radiological results of the treatment of complex tibial shaft fracture (AO/OTA type 42-C) with minimally invasive plate osteosynthesis(MIPO). Twenty patients diagnosed with complex tibial shaft fracture without extension to the articular surface and treated with MIPO, including 9 cases of AO/ OTA type 42-C2 and 11 cases of AO/OTA type 42-C3, 6 of which were open fractures. External fixation was used for open fractures until the soft tissue damage had healed; then, 2nd stage operation with MIPO was performed to stabilize the fracture. Each patient was followed up for a minimum of 12 months. The mean time to union was 20.1 weeks. Delayed union was observed in 4 cases. Angular deformity, length shortening and non-union were not observed. Severely comminuted and open fractures of the tibial shaft may benefit from temporary external fixation prior to performing MIPO.
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