Minimally invasive plate osteosynthesis in distal metaphyseal fractures of tibia. Comparison of results between fractures AO 43A and AO 43C

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Published: May 8, 2015
DOI: https://doi.org/10.15417/341
Keywords:
Distal tibial fractures, Tibial MIPO, Pilon fractures, Pilon MIPO

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Juan Manuel Yañez Arauz
Hospital Universitario Austral.
Ignacio Arzac Ulla
Hospital Universitario Austral
http://orcid.org/0000-0002-5038-7720
Javier Del Vecchio
Hospital Universitario Austral.
Andres Eksarho
Hospital Universitario Austral
Leandro Civetta
Hospital Universitario Austral.
Rodrigo Perez Davila
Hospital Universitario Austral.

Abstract

IntroductionDistal tibial fractures are a challenge for treatment due to the limited coverage and specific vascularization. The aims of this study are to analyze the clinical outcome and functional results in patients with tibial fracture treated with MIPO technique with locked plates. As well comparing  AO 43A with AO 43C1-C2 fractures and comparing  conventional with MIPO techniques.Material and MethodsBetween 2004 and 2012 we evaluated 32 distal tibial fractures treated with MIPO technique. 20 males and 12 female. Average age: 40.1 years old. 59.4% were fracture AO 43A; and the other 40.6% AO 43C. The mean time between the trauma and the surgery was 6.8 days. 24 cases with fibula fracture. Mean hospital stay: 1.5 days. Mean follow up: 39.6 month, with AOFAS Score and X-Ray. We compare results with AO A and AO C fractures.ResultsAOFAS score improve average 73.3 points in POP.  The mean POP- AOFAS score in AO A fracture was 95.89 points, and 92.15 in AO C1-2. The mean time of weight bearing was 8.7 weeks. The mean time to return to activity was 9.3 months. We had 18.75% complications and 14 cases of hardware removal.ConclusionsTibial distal fracture has shown to have better outcome, less complications with MIPO technique in comparission to ORIF. AO 43 A have less complications than AO 43C with this technique. 

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How to Cite
Yañez Arauz, J. M., Arzac Ulla, I., Del Vecchio, J., Eksarho, A., Civetta, L., & Perez Davila, R. (2015). Minimally invasive plate osteosynthesis in distal metaphyseal fractures of tibia. Comparison of results between fractures AO 43A and AO 43C. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(3), 185-195. https://doi.org/10.15417/341
Issue
Vol 80 No 3 (2015)
Section
Clinical Research
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Author Biographies

Juan Manuel Yañez Arauz, Hospital Universitario Austral.

Jefe de Sección Pierna, Tobillo y Pie. Hospital Universitario Austral.

Ignacio Arzac Ulla, Hospital Universitario Austral

Becario de la Sección Pierna, Tobillo y Pie. Hospital Universitario Austral

Javier Del Vecchio, Hospital Universitario Austral.

Médico de la Sección Pierna, Tobillo y Pie. Hospital Universitario Austral.

Andres Eksarho, Hospital Universitario Austral

Becario de la Sección Pierna, Tobillo y Pie. Hospital Universitario Austral

Leandro Civetta, Hospital Universitario Austral.

Residente del Servicio de Ortopedia y Traumatología. Hospital Universitario Austral.

Rodrigo Perez Davila, Hospital Universitario Austral.

Residente del Servicio de Ortopedia y Traumatología. Hospital Universitario Austral.

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