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Indian Journal of Orthopaedics Surgery


A study of Outcome of Tibial Plateau Fracture with Minimally Invasive Percutaneous Plate Osteosyntheisis (MIPPO) Technique


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Author Details: RK Ambulgekar, Pritesh Kothari, Rahul Berlia

Volume : 2

Issue : 3

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 236

Article End Page : 239


Abstract

Introduction: The tibial plateau is one of the most critical load bearing areas in the human body; fractures of the plateau affect knee alignment, stability, and motion. Early detection and appropriate treatment of these fractures are critical for minimizing patient disability and reducing the risk of documented complications, particularly posttraumatic arthritis.
Aims and Objectives: To study Outcome of Tibial Plateau Fracture with Minimally Invasive Percutaneous Plate Osteosyntheisis (MIPPO) Technique.
Methodology: This is institutional based prospective study which comprises of 50 patients with displaced tibial plateau fracture and were treated between Jan 2012 to Jun 2013 with minimal invasive percutaneous plate osteosynthesis (MIPPO). ECG and chest x-ray was done for patients above 35 years of age for cardiorespiratory fitness. Rasmussen scoring system - Scores of 28 and more indicate excellent, 20 to 27 good, 10 to 20 fair, and 6 to 10 poor result. Data Analysis Statistical analysis was done using percentage, proportions, chi-square test.
Result: The Hospital Stay was (Mean±S.D.) 14.8±2.67 days. 68% required <15 days 24% required 15-20 and 8% required >20.  80% of the patients had union between 10-15 weeks, 18% had union between 15-20 weeks, 2% of patients had union in >20 weeks whereas 0% had non-union. Radiological union was 13.74 weeks. S.D. 13.74±2.00. 78% of the patients achieved full weight bearing between 12-15 weeks, 20% of patients achieved full weight bearing between 16-20 weeks while 2% of patients achieved full weight bearing 20-24 weeks. Mean duration of full weight bearing was 14.54 weeks. S.D. 14.54±2.31. 56% patients had knee flexion >12­0 degrees, 30% patients had flexion between 120-90 degrees while 14% of patients had flexion < 90 degrees. Mean knee flexion was 115.6 degrees. S.D. 115.6±19.85. 46% patients had excellent results, 38% patients had good results, 12% patients had fair results while 4% patients had poor results.

Keywords:
Tibial Plateau Fracture, Minimally Invasive Percutaneous Plate Osteosyntheisis (MIPPO) Technique