Minimally invasive osteosynthesis with AO plate in tibia fracture

Authors

Keywords:

minimally invasive surgery, tibia fractures, MIPO

Abstract

Introduction: The osteomyoarticular system frequently suffers traumatic injuries. The tibia is more susceptible to fractures due to the anatomical characteristics.

Objective: To describe minimally invasive osteosynthesis for the treatment of tibia fracture.

Methods: A prospective longitudinal study was carried out in a random sample of cases with surgical treatment of AO plate for minimally invasive plate osteosynthesis. Theoretical and empirical methods were used to analyze what concerns the tibia fracture.

Results: The majority of patients treated with minimally invasive osteosynthesis were male (72.5%). Their age ranged between 30 and 50. The 42A injury predominated according to AO/OTA classification. The surgical time for osteosynthesis was minimal and there were few complications.

Conclusions: MIPO constitutes an option for the treatment of tibia fractures, which does not require special instrumentation. In addition, it has fewer risks of complications because it preserves vascularization and fracture hematoma.

Downloads

Download data is not yet available.

Author Biographies

Lázaro Martín Martínez Estupiñan, Hospital General Provincial Universitario Mártires del 9 de Abril

Doctor en Ciencias Médicas. Medico especialista de primer y segundo grado en ortopedia y traumatología. Profesor principal de la especialidad en la Facultad de medicina. Master en atención integral al niño. Miembro Titular de la SCOT.

Leonardo Martínez Aparicio, Hospital General Provincial Universitario “Mártires del 9 de Abril”

Médico Residente de Cuarto año en la especialidad Ortopedia y Traumatología. Profesor Instructor. Aspirante a Investigador

Roberto Morales Piñeiro, Hospital General Provincial Universitario “Arnaldo Milian”

Especialista de Primer y Segundo Grado en Ortopedia y Traumatología. Profesor Asistente. Investigador Agregado.

Sergio Morales Piñeiro, Hospital General Provincial Universitario “Arnaldo Milian”

Especialista de Primer y Segundo Grado en Ortopedia y Traumatología. Profesor Asistente. Investigador Agregado.

Roberto Mata Cuevas, Hospital General Provincial Universitario “Mártires del 9 de Abril”

Especialista de Primer y Segundo Grado en Ortopedia y Traumatología. Profesor Auxiliar. Investigador Agregado.

References

Wang B, Zhao Y, Wang Q, Hu B, Sun L, Ren C, et al. Minimally invasive percutaneous plate osteosynthesis versus intramedullary nail fixation for distal tibial fractures: a systematic review and meta-analysis. J Orthop Surg Res. 2019;14:456. DOI: https://doi.org/10.1186%2Fs13018-019-1479-0

Ceballos A, Tabares H, Balmaseda R, Álvarez O, Rivero J. Evolución histórica de la osteosíntesis de huesos largos I: Fijación con placa y tornillos. Rev Cub Ortop Traumatol. 2021 [acceso12/07/2022];35(1):e395. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-215X2021000100015

Afzal T, Sharma N, Gupta A. Treatment of comminuted long bone fractures by biological plating. JK. Science. 2018;[acceso12/07/2022];20(1):44-8. Disponible en: http://www.jkscience.org/archives/volume201/10-Original%20Article.pdf

Schell H, Duda GN, Peters A, Tsitsilonis S, Johnson KA, Schmidt-Bleek K. The haematoma and its role in bone healing. J Exp Orthop. 2017;4:5-8. DOI: https://doi.org/10.1186%2Fs40634-017-0079-3

SreejithThampy J, Nagakumar JS, Manohar PV, Karthik P. Minimally invasive percutaneous plate osteosynthesis (MIPPO) in distal tibia fractures-retrospective functional and radiological outcome analysis among rural population. Int J Orthop Sci. 2018;4(2):596-600. DOI: https://doi.org/10.22271/ortho.2018.v4.i2i.89

Gazi H. Adjustable bone plate: State of art. Turk J Med Sci. 2020;50(SI-2):1723-7. DOI: https://doi.org/10.3906/sag-2002-69

Lai TC, Flerming J. Minimally invasive plate Osteosynthesis for distal tibial fractures Clin Pediat Med Surg. 2018;35(2):223-32. DOI: https://doi.org/10.1016/j.cpm.2017.12.005

Mann HS, Sahni G, Singal S, Singh H. Minimally invasive percutaneous plate osteosynthesis in treatment of diaphysealtibial fractures without the use of image intensifier-a study of 30 cases. Indian J Orthop Surg. 2019;5(1):66-71. DOI: https://doi.org/10.18231/j.ijos.2019.012

Marroquín O, García A, Ortega E, Aburto P, Rodríguez C, Olvera R. Comparación del tratamiento con placas en fractura de tibia distal. Act Ortop Mex. 2021 [acceso12/07/2022];35(1):40-5. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022021000100040

Augat P, Von Rüden C. Evolution of fracture treatment with bone plates. Injury. 2018;49(suppl 1):S2-7. DOI: https://doi.org/10.1016/s0020-1383(18)30294-8

Izzet B, Nadir Y, Vedat B, Tolga T, Kaan Y, Kasim K. Minimally invasive percutaneous plate osteosynthesis does not increase complication rates in extra-articular distal tibial fractures. Open Ortop J. 2015;9:73-7. DOI: https://doi.org/10.2174/1874325001509010073

Zhang J, Ebraheim NA, Li M, He X, Liu J, Zhu L, et al. External fixation using a locking plate: A reliable way in treating distal tibial fractures. J Orthop Trauma. 2015;29(11):e454-8. DOI: https://doi.org/10.1097/bot.0000000000000377

Andalib A, Sheikhbahaei E, Andalib Z, Tahririan MA. Effectiveness of minimally invasive plate osteosynthesis (MIPO) on comminuted tibial or femoral fractures. Arch Bone Jt Surg. 2017 [acceso12/07/2022];5(5):290-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29226199/

Choi S, Lee TJ, Kim S, Cho C, Shim S, Kang H. Minimally invasive plate osteosynthesis (MIPO) technique for complex tibial shaft fracture. Acta Orthop Belg. 2019 [acceso12/07/2022];85(2):224-33. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31315014/

Published

2024-02-10

How to Cite

1.
Martínez Estupiñan LM, Martínez Aparicio L, Morales Piñeiro R, Morales Piñeiro S, Mata Cuevas R. Minimally invasive osteosynthesis with AO plate in tibia fracture. Revista Cubana de Ortopedia y Traumatologí­a [Internet]. 2024 Feb. 10 [cited 2025 Apr. 3];38. Available from: https://revortopedia.sld.cu/index.php/revortopedia/article/view/708

Issue

Section

Artículos originales