Eken Gokay, Ermutlu Cenk, Durak Kemal, Atici Teoman, Sarisozen Bartu, Cakar Adnan
Bursa Acibadem Hospital, Orthopedics and Traumatology Department, Nilufer Bursa, Turkey.
Uludag University Faculty of Medicine, Orthopedics and Traumatology Department, Nilufer Bursa, Turkey.
J Int Med Res. 2020 Oct;48(10):300060520965402. doi: 10.1177/0300060520965402.
To report the results of patients with short oblique diaphyseal tibia fractures treated with minimally invasive plate osteosynthesis (MIPO). The secondary aim was to understand the effect of fracture location (midshaft or distal 1/3) on outcomes.
Twenty-eight patients with short oblique (>30°) tibial shaft fractures (AO/OTA 42A2) treated with plate and MIPO technique between 2015 and 2019 were retrospectively assessed. Age, gender, follow-up time, fracture type (open or closed), operation time, postoperative infection rate, union time, ankle joint range of motion, and complications were analyzed. Patients' radiographs at a minimum 1-year follow-up were evaluated for malunion, nonunion, and implant-related complications.
Mean age and follow-up time were 47.0 ± 15.7 years and 18.3 ± 12.1 months, respectively. Mean bone union time was 3.66 ± 1.04 months in middle 1/3 diaphysis and 4.23 ± 1.48 months in distal 1/3 tibia fractures. Seven (25%) patients developed superficial infections. Mean union time, malunion rate, coronal and sagittal angulation, operation length, and infection rate were similar between the groups.
MIPO is an effective method for treatment of short oblique diaphyseal tibia fractures, and results in few complications. Both distal and midshaft fractures have similar union and malunion rates.
报告采用微创钢板接骨术（MIPO）治疗胫骨干短斜形骨折患者的结果。次要目的是了解骨折部位（骨干中部或远端1/3）对治疗结果的影响。
回顾性评估2015年至2019年间采用钢板和MIPO技术治疗的28例胫骨干短斜形（>30°）骨折（AO/OTA 42A2）患者。分析患者的年龄、性别、随访时间、骨折类型（开放性或闭合性）、手术时间、术后感染率、愈合时间、踝关节活动范围及并发症。对患者至少随访1年的X线片进行评估，观察有无畸形愈合、骨不连及植入物相关并发症。
平均年龄和随访时间分别为47.0±15.7岁和18.3±12.1个月。骨干中部1/3骨折的平均骨愈合时间为3.66±1.04个月，胫骨远端1/3骨折为4.23±1.48个月。7例（25%）患者发生浅表感染。两组间的平均愈合时间、畸形愈合率、冠状面和矢状面成角、手术时长及感染率相似。
MIPO是治疗胫骨干短斜形骨折的有效方法，并发症少。远端和骨干中部骨折的愈合率和畸形愈合率相似。
