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SAS Journal of Surgery | Volume-9 | Issue-04
Outcome and Evaluation of Distal Tibial Close Fractures with Locking Compression Plate (LCP): A Prospective Study (MIPO) Approach
Dr. Md. Ismail Hossain, Dr. Md. Insanul Alam, Dr. Mohammad Golam Sagir, Dr. Md. Aminur Rahman, Dr Md Younus Hossain
Published: April 30, 2023 | 116 127
DOI: 10.36347/sasjs.2023.v09i04.028
Pages: 350-355
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Abstract
Background: Fractures of the distal tibia have historically proved difficult to treat. The distal tibia is less deeply covered by muscle and has a poorer blood supply. Therefore, problems are possible during the surgical treatment. We hope to evaluate the outcomes of LCP with minimally invasive plate osteosynthesis (MIPO) for the fixation of distal tibial fractures. Materials and Methods: A Multicentered based quasi-experimental prospective study was performed in 250 Beded District Hospital, Chapainawabganj, Rajshahi, Bangladesh, from January 2020 to December 2022. A Total Twenty-one patients were prospectively analyzed. Included were AO types 43A, 43B, and 43C. There were 21 patients (14 men and 7 women, with a mean age of 51). Results: The Mean time to union duration was 11 months (range, 3-35). There was a high perceived result for 17 fractures. The union of one patient was delayed. Nonunion, in one case, necessitated revision surgery, but the fracture healed with a satisfactory good functional outcome. Two patients had minor infections at the wound's surface, but their fractures subsequently healed. Conclusion: The MIPO procedure for the distal tibia has proven effective and offers many benefits over more traditional approaches. Stiffness and contracture can be avoided by early mobility without the potential of subsequent displacement.