Indirect reduction technique using a distraction support in minimally invasive percutaneous plate osteosynthesis of tibial shaft fractures
Purpose: To describe an indirect reduction technique during minimally invasive percutaneous plate osteosynthesis (MIPPO) of tibial shaft fractures with the use of a distraction support. Methods: Between March 2011 and October 2014, 52 patients with a mean age of 48 years (16–72 years) sustaining tib...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-12-01
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| Series: | Chinese Journal of Traumatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127516302802 |
| Summary: | Purpose: To describe an indirect reduction technique during minimally invasive percutaneous plate osteosynthesis (MIPPO) of tibial shaft fractures with the use of a distraction support.
Methods: Between March 2011 and October 2014, 52 patients with a mean age of 48 years (16–72 years) sustaining tibial shaft fractures were included. All the patients underwent MIPPO for the fractures using a distraction support prior to insertion of the plate. Fracture angular deformity was assessed by goniometer measurement on preoperative and postoperative images.
Results: Preoperative radiographs revealed a mean of 7.6°(1.2°–28°) angulation in coronal plane and a mean of 6.8°(0.5°–19°) angulation in sagittal plane. Postoperative anteroposterior and lateral radiographs showed a mean of 0.8°(0°–4.0°) and 0.6°(0°–3.6°) of varus/valgus and apex anterior/posterior angulation, respectively. No intraoperative or postoperative complications were noted.
Conclusions: This study suggests that the distraction support during MIPPO of tibial shaft fractures is an effective and safe method with no associated complications. |
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| ISSN: | 1008-1275 |