MIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP

Objective: To compare the results with three types of plates in treatment of comminuted distal tibial metaphyseal fractures with minimally invasive plate osteosynthesis (MIPO). Study Design: Retrospective non randomized comparative study. Place and Duration of Study: Department of Orthopaedic...

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Autores principales:	Hassan Mahmud Syed, Muhammad Suhail Amin, Muhammad Talha, Adnan Anwer
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	comminuted fractures distal tibia dcp lcp dt-lcp Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6161cfaa6ec1420da29d8b59b816f71e
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spelling	oai:doaj.org-article:6161cfaa6ec1420da29d8b59b816f71e2021-11-12T03:13:39ZMIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP0030-96482411-8842https://doaj.org/article/6161cfaa6ec1420da29d8b59b816f71e2019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3026/2264https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the results with three types of plates in treatment of comminuted distal tibial metaphyseal fractures with minimally invasive plate osteosynthesis (MIPO). Study Design: Retrospective non randomized comparative study. Place and Duration of Study: Department of Orthopaedic Surgery, CMH Multan, Muzaffarabad and Rawalpindi from Mar 2007 to Oct 2012. Patients and Methods: Total 51 patients were managed by MIPO technique. A 4.5mm Narrow Dynamic Compression Plate (DCP) was used in 16 cases, 4.5mm Narrow Locking Compression Plate (LCP) in 12 and 3.5 mm pre-contoured distal tibial LCP (DT-LCP) in 23 cases. Assessment was done monthly until radiological union and quarterly thereafter. Results: There were 37 males, 14 females, mean age of 33 years: (Range 14-66 years). Primary union achieved in 14 of 16 cases (87.5%) with DCP and 2 (12.5%) went on secondary union after bone grafting. 10 of 12 cases (83.33%) with LCP went into primary and two into secondary union (16.66%). Primary union occurred in all case treated by DT-LCP. One case of superficial infection occurred in each group. Functional results were “excellent to good” in 14 (87.5%) in DCP group, 11 ((91%) in LCP and 22 ((95.6%) in DT- LCP group. Time to union and functional outcome in the three groups was insignificant (p>0.05). Conclusion: MIPO may be used successfully, with different plates, for distal tibial metaphysial fractures because of less disturbance to soft tissue and blood supply.Hassan Mahmud SyedMuhammad Suhail AminMuhammad TalhaAdnan AnwerArmy Medical College Rawalpindiarticlecomminuted fracturesdistal tibiadcplcpdt-lcpMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 554-559 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	comminuted fractures distal tibia dcp lcp dt-lcp Medicine R Medicine (General) R5-920
spellingShingle	comminuted fractures distal tibia dcp lcp dt-lcp Medicine R Medicine (General) R5-920 Hassan Mahmud Syed Muhammad Suhail Amin Muhammad Talha Adnan Anwer MIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP
description	Objective: To compare the results with three types of plates in treatment of comminuted distal tibial metaphyseal fractures with minimally invasive plate osteosynthesis (MIPO). Study Design: Retrospective non randomized comparative study. Place and Duration of Study: Department of Orthopaedic Surgery, CMH Multan, Muzaffarabad and Rawalpindi from Mar 2007 to Oct 2012. Patients and Methods: Total 51 patients were managed by MIPO technique. A 4.5mm Narrow Dynamic Compression Plate (DCP) was used in 16 cases, 4.5mm Narrow Locking Compression Plate (LCP) in 12 and 3.5 mm pre-contoured distal tibial LCP (DT-LCP) in 23 cases. Assessment was done monthly until radiological union and quarterly thereafter. Results: There were 37 males, 14 females, mean age of 33 years: (Range 14-66 years). Primary union achieved in 14 of 16 cases (87.5%) with DCP and 2 (12.5%) went on secondary union after bone grafting. 10 of 12 cases (83.33%) with LCP went into primary and two into secondary union (16.66%). Primary union occurred in all case treated by DT-LCP. One case of superficial infection occurred in each group. Functional results were “excellent to good” in 14 (87.5%) in DCP group, 11 ((91%) in LCP and 22 ((95.6%) in DT- LCP group. Time to union and functional outcome in the three groups was insignificant (p>0.05). Conclusion: MIPO may be used successfully, with different plates, for distal tibial metaphysial fractures because of less disturbance to soft tissue and blood supply.
format	article
author	Hassan Mahmud Syed Muhammad Suhail Amin Muhammad Talha Adnan Anwer
author_facet	Hassan Mahmud Syed Muhammad Suhail Amin Muhammad Talha Adnan Anwer
author_sort	Hassan Mahmud Syed
title	MIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP
title_short	MIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP
title_full	MIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP
title_fullStr	MIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP
title_full_unstemmed	MIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP
title_sort	mipo in distal tibial metaphyseal fractures a comparison among dcp, lcp and pre-contoured dt-lcp
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/6161cfaa6ec1420da29d8b59b816f71e
work_keys_str_mv	AT hassanmahmudsyed mipoindistaltibialmetaphysealfracturesacomparisonamongdcplcpandprecontoureddtlcp AT muhammadsuhailamin mipoindistaltibialmetaphysealfracturesacomparisonamongdcplcpandprecontoureddtlcp AT muhammadtalha mipoindistaltibialmetaphysealfracturesacomparisonamongdcplcpandprecontoureddtlcp AT adnananwer mipoindistaltibialmetaphysealfracturesacomparisonamongdcplcpandprecontoureddtlcp
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MIPO IN DISTAL TIBIAL METAPHYSEAL FRACTURES A COMPARISON AMONG DCP, LCP AND PRE-CONTOURED DT-LCP

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