DOI: 10.36347/sjams.2021.v09i04.021

Pages: 593-596

Objective: In this study our main goal is to evaluate the complication of MIPO technique for closed fracture proximal third tibia among adult patients. Method: This observational study was carried out at Department of Orthopaedic Surgery, Chattogram Medical College Hospital; Chattogram, From January 2012 to June 2013. A total of 26 patients within 18-60 years of age and were admitted in different Orthopaedic units of Chattogram Medical College Hospital with closed fracture in proximal tibia were included in the study. Results: During the study, motor vehicle accident accounted for 10 cases (43.48%), pedestrian struck by a motor vehicle for 3 cases (13.04%). Work accidents were responsible for 04 fractures (17.39%), mostly because of a falling heavy object. 3 fractures (13.04%) were caused by high-energy fall from heights of at least 3 meters. Sports injuries caused fractures in 2 patients (8.69%), of them 2 had football injuries. Direct trauma by h/o Assault for 1 cases (4.35%). Collectively, low-energy mechanisms had a mean time to union of 19.0 weeks. On the other hand, high-energy injuries had a mean time to union of 22.34 weeks with 3 delayed unions. intraoperative displacement of a wedge fragment or comminution during plate positioning, occurred in four cases followed by the development of impending compartment syndrome after locking plate fixation occurred in only one patient, early aseptic wound complications including dehiscence, edge necrosis and haematoma formation occurred in three patients (13.04%), superficial infection (wound or soft tissue infection superficial to the deep fascia without muscle or bone involvement and with stable implant) occurred in 2 cases. Conclusion: Most importantly, it was easy to use, it was biological in the sense that the blood circulation to the proximal tibia was not compromised, the plate had not need to be configured and the angular screw fixation ensures fixed-angle stabilization. So, locking compression plate fixatio