Prospective study of surgical management of proximal tibia fracture with locking compression plate using minimally invasive percutaneous plate osteosynthesis technique

Abstract

Introduction: The majority of tibial plateau fractures are secondary to high velocity road traffic accidents. Hence the management of high-energy proximal tibial fractures will need very good care of the soft-tissue envelope as the surface of the proximal tibia is covered only with skin and subcutaneous tissues The main goal of surgical treatment of proximal tibial fractures in this study is to restore and preserve normal knee function by using Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) technique. Method: 32 cases of proximal tibial fractures from Chigateri General Hospital and Bapuji Hospital attached to J.J.M Medical College, Davangere during the study period were included in study and cases were followed up for a minimum period of 12 months. At 4, 6, 9, 12, 16 weeks and then two monthly follow up till 12 months. Inability to take part in post operative rehabilitation & those with Open fractures were excluded from the study. Result: Based on Modified Rasmussen criteria for clinical assessment in our study we achieved 71.88% excellent results, 15.62% good results (with overall of 87.% excellent to good results) and 12.5% fair results.