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Treatment of Comminuted Fractures of Proximal Tibia using MIPO technique
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Beom Koo Lee, Hyunchul Jo, Gi Serk Eom, Jin Won Kim
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J Korean Soc Fract 2002;15(2):243-250. Published online April 30, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.2.243
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 Abstract
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- PURPOSE
To evaluate the advantages of fixation of metaphysis by minimally invasive plate osteosynthesis(MIPO) technique for comminuted fractures of the proximal tibia.
MATERIALS & METHODS: from January 1997 to February 2000, 18 cases of comminuted fracture of the proximal tibia were treated using MIPO technique. Operation time, union time, radiologic alignment, range of motion of the knee joint, functional and anatomical results according to Rassmusen's grading criteria, complications were evaluated. Minimal follow-up time was 12 months.
RESULTS
Operation time was average 51 minutes (30-80 minutes). Time to bone healing was average 10.6 weeks (9-14 weeks) There was 1 case of valgus angular deformity greater than 5 degrees. 6 cases in acceptable bony alignment less than valgus 5 degrees and 11 cases were classified into normal bony alignment. Range of motion of the knee joint was 0-140 degrees in 13 cases, 0-120 degrees in 3 cases, 0-90 degrees in 1 case, 10-90 degrees in 1 case. Rasmussen's grading criteria for functional outcome revealed there were 14 cases(77.8%) excellent results, 4 cases(22.2%) good result. and grading criteria for anatomical outcome revealed there were 7 cases(38.9%) excellent results, 11 cases(61.1%) good result.
CONCLUSION
MIPO technique for comminuted fracture of the proximal tibia seems to be a good techinque to obtain more rapid bony union with less complication.
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Citations
Citations to this article as recorded by  - Treatment of Proximal Tibia Fractures Using LCP by MIPO Technique
Sang-Ho Ha, Dong-Hui Kim, Jun-Young Lee
Journal of the Korean Fracture Society.2010; 23(1): 34. CrossRef
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Opreative Treatment of Intra-articula T or Y
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Young Kyu Kom, Gi Serk Eom
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J Korean Soc Fract 2000;13(2):303-310. Published online April 30, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.2.303
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Abstract
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: To evaluate the results after rigid fixation for intraarticular distal humerus fractures and determine the prognostic factors influencing outcome.
MATERIALS AND METHODS
: Twenty-two patients were managed with the rigid fixation using dual plate or one plate combined with cannulated screw. According to the M ller's classification, eleven cases were classified as type C1; five, as type C2; and six, as type C3. Based on the age, the patients were divided into two groups as a guideline of 50 years so that the number of the patients was 11 cases respectively.
RUSULTS : By the rating scale from Aitken and Rorabeck, excellent or good results were 90% in type C1, 80% in type C2 and 66% in type C3. All patients who were under 50 years of age obtained excellent or good results, and group who were older than 50 showed 64% good results.
CONCLUSION
: Rigid fixation using dual plate and early mobilization using functional brace were considered to be a good method for intraarticular distal humerus fractures. And, this study revealed that comminution of fracture and age became an important factors in achieving the desire results.
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Citations
Citations to this article as recorded by - Surgical Treatment Using a Transolecranon Approach with a Dual Locking Plate for Unstable Intercondylar Fractures of the Humerus
Ji-Kang Park, Yong-Min Kim, Dong-Soo Kim, Eui-Sung Choi, Hyun-Chul Shon, Kyoung-Jin Park, Byung-Ki Cho
Journal of the Korean Fracture Society.2012; 25(2): 129. CrossRef
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