Tibial shaft fractures treated by minimally invasive percutaneous plate osteosynthesis

Abstract

To analyse the clinical, functional and radiological outcomes along with the duration of union and complications in treating tibial shaft fractures with Minimally Invasive Percutaneous Plate Osteosynthesis. Methods: A prospective study was performed on thirty adult patients who underwent locking compression plate using MIPPO technique for closed fracture tibial shaft in the Department of Orthopaedics from May 2017 to April 2018 and were followed for one year. The functional outcome was measured using AOFAS (American Orthopaedic Foot and Ankle Society score) and Olerud and Molander scores and was then graded as excellent/good/fair and poor. Radiological outcomes assessed by taking anteroposterior and lateral view x-ray of affected and normal limb and compared. Duration of union and complications were assessed. Results: Majority of the patient were male (60%) belonging to the age group of 36 to 40 years (26%). AOFAS score depicts excellent result in the majority of the patients (70%). Olerud and Molander Score depicts good results in 57% and excellent results in 43% of patients. Duration of union is less than 16 weeks in almost 50% of patients. Complication resulted in 22% of patients. Conclusion:Minimally Invasive Percutaneous Plate Osteosynthesis technique for the treatment of tibial shaft fracture provides good healing and excellent functional results in most of the patients with few complications.