Minimally invasive plate osteosynthesis using posterolateral approach for distal tibial and tibial shaft fractures

Norio Yamamoto, Kenichi Ogawa, Chuji Terada, Yoshiki Okazaki, Kazuo Munetomo, Tomoyuki Noda, Toshihumi Ozaki

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: The objective of the study was to evaluate the effectiveness of the posterolateral minimally invasive plate osteosynthesis (MIPO) method for managing distal tibial or tibial shaft fractures with severe anterior and medial soft tissue injuries. Materials and methods: Five consecutive patients with three distal tibial and two tibial shaft fractures (three open fractures) at a level-1 trauma and tertiary referral center were retrospectively reviewed. All patients were definitively treated and followed to bone union. Main outcome was measured by American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, complications, and bone union on radiographs. Results: The average follow-up period was 15.8 months (range, 12-24 months). The average AOFAS score was 88.2 (range, 81-90). There were no complications, such as incision breakdown, deep infection, or impingement of the flexor hallucis longus tendon. Bone union was achieved in all cases. Conclusions: Posterolateral MIPO is a feasible option when treating these fractures, especially in cases with severe anterior and medial soft tissue injuries.

Original languageEnglish
JournalInjury
DOIs
Publication statusAccepted/In press - 2016

Keywords

  • Distal tibial fracture
  • Minimally invasive plate osteosynthesis
  • Posterolateral approach
  • Staged treatment
  • Tibial shaft fracture

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

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