Outcomes of Open Proximal Tibia Fractures Managed by Primary Plating with Mippo Technique in Terms of Stability, Union and Complications
Ashutosh Verma1*, Atul Kumar Saroj2, Shailesh Kumar1, Subham Khandelwal1, Gaurav Kumar Singh3 and Piyush Gautam3
1Senior Resident, Department of Orthopaedics, S.N. Medical College, Agra, India
2Senior Resident, Department of Orthopaedics, K.G. Medical University, Lucknow, India
3Junior Resident, Department of Orthopaedics, S.N. Medical College, Agra, India
*Corresponding Author: Ashutosh Verma, Senior Resident, Department of Orthopaedics, S.N. Medical College, Agra, India.
April 25, 2022; Published: July 29, 2022
Background: Periarticular fracture of tibia management had main challenges because these are high energy fractures associated with soft tissue damage leading to increased chance of complex injuries. The purpose of this study, on patients of open proximal tibia fractures managed by primary plating with MIPPO technique, were to assess the functional outcome in terms of functional Stability, union, range of motion, early mobilization and complications.
Methodology: In this study, 55 patients of open fracture of upper third tibia were managed by primary locking compression plate using MIPPO method. Cases were followed up at 4th week, 8th week, 14th week, 20th week, 26th week, 38th week and 50th week. At all visit cases were evaluated by using radiograph of knee and Knee-Society score.
Results: More than 90% patients had an Excellent to good Knee Society Score (p ≤ 0.005) and Fracture united in less than 20 weeks duration.
Conclusion: MIPPO has leverage over traditional plating by conserving periosteal blood supply. The patient compliance is good and it is cosmetically better than different types of fixators. Thus, Primary MIPPO using locking plates is an acceptable method of managing Compound proximal tibia fractures.
Keywords: Proximal Tibial Fractures; Mippo Technique; Knee Society Score; Gustilo Anderson Classification
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