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Journals / Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2014 / Cilt: 25 - Sayı: 1

The radiological and clinical results of biological fixation of distal tibia metaphyseal and diaphyseal fractures

Distal tibia meatafizer ve diyafizer kırıklarının biyolojik fiksasyonunun radyolojik ve klinik sonuçları

Gültekin Sıtkı ÇEÇEN
Güven BULUT
Halil İbrahim BEKLER
Deniz GÜLABİ
Fevzi SAĞLAM
Asaf BOZKAYA
Pages
46–52
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In treatment of distal metaphysial and diaphysial fractures of tibia MIPPO technique is a successful procedure with low complication rates.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: In this study our aim is to evaluate the radiologi- cal and clinical results of MIPPO (minimally invasive percuta- nous plate osteosynthesis) of distal tibia fractures localized at metaphysis or diaphysis.
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Key Findings & Data:Methods: Thirty tibia fractures of 30 patients operated with MIPPO for distal tibia fractures who have regular follow-up and who meet the study criteria are included in the study.
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Conclusion & Impact:Conclusion: In treatment of distal metaphysial and diaphysial fractures of tibia MIPPO technique is a successful procedure with low complication rates.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background: In this study our aim is to evaluate the radiologi- cal and clinical results of MIPPO (minimally invasive percuta- nous plate osteosynthesis) of distal tibia fractures localized at metaphysis or diaphysis. Methods: Thirty tibia fractures of 30 patients operated with MIPPO for distal tibia fractures who have regular follow-up and who meet the study criteria are included in the study. The mean age of the patients is 39.1 (18-62), including 20 males (66.6%) and 10 females (33.3%). Twenty-five (83%) patients have closed and 5 (17%) have open fractures. Fracture types according to AO classification are 15 A1, 9 A2, 5 A3, and 1 C1. Radiological union time/duration, malunion, and nonunion, clinical infec- tion rate, additional surgical procedures and AOFAS (American Orthopaedic Foot and Ankle Society) scores were evaluated. Results: In 2 cases infection was observed. The mean union du- ration was 16.6 (8-20) weeks. Delayed union was observed in 2 patients. Malunion was seen in 2 patients. The mean follow-up period of our cases was 15.3 months (8-32); mean AOFAS score was 84 (60-92). Conclusion: In treatment of distal metaphysial and diaphysial fractures of tibia MIPPO technique is a successful procedure with low complication rates.

Özet

Amaç: Bu çalışmada distal tibia metafizer ve diyafizer kırık- larının minimal invazif perkütan kilitli plakla osteosentez (MİPPO) tekniği uygulanarak tedavisinin klinik ve radyolojik sonuçlarının araştırılıp literatürle kıyaslanması amaçlandı. Gereç ve Yöntem: Distal tibia diyafizer ve metafizer kırık ne- diyle ameliyat edilen ve çalışma kriterlerine uyan 30 hasta geriye dönük olarak analiz edildi. Ortalama yaşı 39.1 (18-62) olan hastaların 20si (%66.6) erkek, 10u (%33.3) kadın idi. Hastaların 25inde (%83) kapalı, 5inde (%17) açık kırık vardı. AO sınıflamasına göre kırıkların 15i A1, 9u A2, 5i A3 ve 1i C1 idi. Radyolojik olarak malunion, nonunion ve kaynama süresi; klinik olarak AOFAS (Amerikan Ortopedik Ayak ve Ayak Bileği Derneği) skoru, enfeksiyon ve ek cerrahi işlemler analiz edildi. Bulgular: İki hastamızda enfeksiyon görüldü. Kaynama or- talama 16.6 (8-20) haftada gerçekleşti. İki hastada kaynama geçikmesi, iki hastada da malunion gelişti. Hastaların orta- lama takip süresi 15.3 ay (8-32) olup, ortalama AOFAS skoru 84 (60-92) idi. Sonuç: Distal tibia metafiz ve diyafiz kırıklarının tedavisin- de MİPPO tekniği düşük komplikasyon oranıyla başarılı bir yöntemdir.

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Cite This Article

ÇEÇEN, G. S., BULUT, G., BEKLER, H. İ., GÜLABİ, D., SAĞLAM, F., BOZKAYA, A. (2022). The radiological and clinical results of biological fixation of distal tibia metaphyseal and diaphyseal fractures. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 25 - Sayı: 1, 46–52. https://ajindex.com/articles/571363

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