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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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