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Proximal tibia MIPO locking plate-prospective study of functional outcome for AO/OTA type 41-B, C fracture

Sachin Onkar Phirke, Ravindra Patil, Yash P Oza, Shreyansh D Mehta, Ashwin Lokapur, Suraj Deshmukh

Abstract: Objective: The aim of our study was to evaluate the functional outcome using the HSS knee scoring system and complications of tibia plateau fractures in the Indian population treated with the Locking Anterolateral plate with the MIPO technique. Method: A prospective study was carried out in our institute at Kolhapur. A total number of 57 patients with tibia plateau fracture (AO/OTA type 41-B, C) were studied between March 2019 and Jan 2021. All were treated with an anterolateral locking plate via anterolateral approach and MIPO technique. A mean follow-up of 12 months was carried out, and evaluation was done with the help of the HSS (Hospital for special surgery) Knee scoring system. Result: The mean radiological union time was 16 weeks. The outcome was measured using HSS knee scoring. The average follow up period was 12 months with good patient satisfaction. A total of 11 patients out of 57 reported complications like Non-union (2%), Delayed union (7%), Infection (5.20%) and hardware irritation (5.20%). No case of peripheral neuropathies reported in any of the patients. Conclusion: Locking anterolateral plating via the MIPO technique is a good treatment option showing good clinical outcome in the treatment of tibia plateau fracture (AO/OTA type 41-B, C). It offers a more stable fixation and good functional recovery after the surgery.
Keywords: functional / locking / treatment / MIPO / tibia plateau fracture

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