Study of clinical and radiological outcome of extra-articular proximal tibia fracture treated with minimally invasive plate osteosynthesis (MIPO) technique

Abstract

Background: The management of proximal extra-articular tibia fractures is challenging to a surgeon because of its complex fracture pattern and anatomical location. The aim of our study is to assess the functional, clinical and radiological outcome of MIPO in extra articular proximal tibia fractures. Materials and Methods: This is a prospective study of 43 closed extra articular proximal tibia fracture patients. The study was done in between July 2017 to September 2019 at a tertiary care centre in India. Results: The mean age was 32.5 years (range 31-65). The primary bony union was achieved by an average of 16.32 weeks (range 14 to 24 weeks). According to the Modified Rasmussen’s criteria, 23 patients (53.48%) had excellent outcome, 12 patients (27.90%) had good outcome and 8 patients (18.60%) had fair outcome. The mean range of motion of the knee is 124.23° (Range 10-150°). The complications include Infection (9.3%) and varus malunion (18.60%). Conclusion: Minimally invasive percutaneous plate osteosynthesis technique offers biological advantage with minimal complication and fulfils the demands of fast implantation, soft tissue protection and high biomechanical stability.