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Minimally Invasive Plate Osteosynthesis (MIPO) technique for complex tibial shaft fracture / Sungwook Choi in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)
[article]
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.Permalink : ./index.php?lvl=notice_display&id=92198
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 224-233[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.Permalink : ./index.php?lvl=notice_display&id=92198 Exemplaires (1)
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Exclu du prêtMinimally invasive plate osteosynthesis without floating segment fixation for segmental fracture of femur / Surasak Jitprapaikulsarn in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Minimally invasive plate osteosynthesis without floating segment fixation for segmental fracture of femur Type de document : texte imprimé Auteurs : Surasak Jitprapaikulsarn ; Arthit Grompasit ; Chawanan Patamamongkonchai Année de publication : 2021 Article en page(s) : p. 629-634 Note générale : https://doi.org/10.52628/87.4.07 Langues : Anglais (eng) Mots-clés : MIPO segmental fractures of the femur floating segment fixation Résumé : Segmental fractures of the femur are technically difficult to manage by intramedullary nailing, the gold standard treatment. We specifically describe minimally invasive plate osteosynthesis (MIPO) without floating segment fixation for this particular fracture pattern. Twenty patients with segmental fractures of the femur were operated on by the MIPO technique. Data were collected on operative time, postoperative complications, union times, and clinical outcomes. The mean operative time was 63.5 minutes (range 50-90). There were no peri-operative complications. All fractures were united with a mean union time of 16.1 weeks (range 12-20). Regarding postoperative malalignment, limb shortening was demonstrated in 4 patients, valgus angulation in 2 and varus angulation in 3. One patient had a bent plate with 7°varus angulation. According to the Thoresen score, 13 were determined to be excellent values, 6 to be good and 1 to be fair. MIPO without floating segment fixation is a safe and effective alternative for segmental fractures of the femur especially in circumstances that are unsuitable or unfeasible for intramedullary nailing. Permalink : ./index.php?lvl=notice_display&id=102012
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 629-634[article] Minimally invasive plate osteosynthesis without floating segment fixation for segmental fracture of femur [texte imprimé] / Surasak Jitprapaikulsarn ; Arthit Grompasit ; Chawanan Patamamongkonchai . - 2021 . - p. 629-634.
https://doi.org/10.52628/87.4.07
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 629-634
Mots-clés : MIPO segmental fractures of the femur floating segment fixation Résumé : Segmental fractures of the femur are technically difficult to manage by intramedullary nailing, the gold standard treatment. We specifically describe minimally invasive plate osteosynthesis (MIPO) without floating segment fixation for this particular fracture pattern. Twenty patients with segmental fractures of the femur were operated on by the MIPO technique. Data were collected on operative time, postoperative complications, union times, and clinical outcomes. The mean operative time was 63.5 minutes (range 50-90). There were no peri-operative complications. All fractures were united with a mean union time of 16.1 weeks (range 12-20). Regarding postoperative malalignment, limb shortening was demonstrated in 4 patients, valgus angulation in 2 and varus angulation in 3. One patient had a bent plate with 7°varus angulation. According to the Thoresen score, 13 were determined to be excellent values, 6 to be good and 1 to be fair. MIPO without floating segment fixation is a safe and effective alternative for segmental fractures of the femur especially in circumstances that are unsuitable or unfeasible for intramedullary nailing. Permalink : ./index.php?lvl=notice_display&id=102012 Réservation
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