Abstract
Introduction: This study is undertaken to evaluate the outcome of the MIPO technique in Proximal Tibial Condyle Fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, fewer complications, and a better quality of life. Material and methods: Study design: Prospective cohort study carried out at C.U Shah Medical College. 30 cases of proximal tibia fractures (Schatzker type 1- VI) operated with the MIPO technique. Follow-up of these patients was done at 6 months and 9 months after surgery by using Sanders's 40-point functional scale. Results: There were 16 cases of Schatzker type I fractures, 5 cases of Type II, 4 cases of type III, 2 cases of type IV, 1 case of type V and 2 cases of type VI fractures. The healing process was determined by radiographically and functionally. Meantime to union was 17.6 weeks, with 50 % of fractures uniting in 14-16 weeks. Infection was observed in two cases (10%), two cases of collapse of fracture, and two cases of malunion. Sanders's score was applied to analyze the functional outcome among the cases. 63% of patients had excellent performance, 20% had good results, 13% had fair results and one patient performed poorly. Conclusion: MIPO is a good technique to stabilize the proximal tibia condyle fractures especially when used with meticulous intraoperative handling of soft tissues.
Highlights
This study is undertaken to evaluate the outcome of the minimally invasive plate osteosynthesis (MIPO) technique in Proximal Tibial Condyle Fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, fewer complications, and a better quality of life
MIPO is a good technique to stabilize the proximal tibia condyle fractures especially when used with meticulous intraoperative handling of soft tissues
The present study aimed to evaluate the functional outcome of proximal tibial fractures treated with Minimally Invasive Plate Osteosynthesis (MIPO)
Summary
This study is undertaken to evaluate the outcome of the MIPO technique in Proximal Tibial Condyle Fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, fewer complications, and a better quality of life. 30 cases of proximal tibia fractures (Schatzker type 1- VI) operated with the MIPO technique. Sanders's score was applied to analyze the functional outcome among the cases. Conclusion: MIPO is a good technique to stabilize the proximal tibia condyle fractures especially when used with meticulous intraoperative handling of soft tissues. Intraarticular fractures of the proximal tibia involve a major weight-bearing joint which if not managed well, results in functional impairment. Most of the injuries in 55-70% cases affect the lateral condyle. High energy complex tibial condyle fractures being intra-articular are usually associated with injury to ligaments, capsule, and other soft tissues around the joint. The Schatzker classification system for proximal tibia fractures, which divides these fractures into six types, is widely recognized by orthopedic surgeons to assess the initial injury, plan management, and predict prognosis
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
