Abstract:
Background: Tibial metaphyseal fractures represent a treatment challenge, and with increasing incidence of these fractures that mostly involve the productive age group, so, they need optimum treatment. Minimally Invasive Plate Osteosynthesis is the most effective treatment method, as preserving most of the osseous vascularity and fracture haematoma, thus providing more biological repair and decrease complications.
Aim of the study: To evaluate the result of using MIPO in management of tibial metaphyseal fractures.
Subjects and methods: Prospective analysis of 20 patients with proximal and distal tibial metaphyseal fractures treated by MIPO technique. They were 18 males and 2 females, and mean age was 34.0±11.5 years, main cause was RTA. According to AO classification, 60% of fractures in group 1 were 41A and 40% were 41C, while in group 2, 100% of fractures were 43A.
Results: Mean period for full weight bearing was 12.95±3.53wk. Mean time for complete union was 16.6±3.74 weeks. Functionally, the results were 85% of patients had satisfactory outcome and only 15% of patients had unsatisfactory outcome. The complications were 2 cases with superficial & 2 cases with deep wound infections, 2 cases with moderate to severe pain at fracture site, 1 case with screw site pain, and 1 case with swelling and pain overall affected leg.
Conclusion: MIPO technique is the best option for management of tibial metaphyseal fractures, as short time for full union and for full weight bearing and high satisfactory functional result can be obtained.