Department of Orthopaedic Surgery, Shalamar Hospital, Lahore, Pakistan.
Department of Orthopaedic Surgery, Nishter Medical and Dental University, Multan, Pakistan.
J Pak Med Assoc. 2021 Aug;71(Suppl 5)(8):S64-S69.
To evaluate radiological and clinical outcome of minimally invasive plate osteosynthesis (MIPO) using locking compression plate in long bone fractures.
This was a prospective study for the long bones fracture managed by MIPO using locking compression plate in thirty patients from January to December 2017. All the skeletally mature patients and the patients with osteoporotic bones were included. Patients with open injuries, paediatric patients and plating done in non-traumatic conditions were excluded. Patients were followed as outpatient after one week, six weeks, after three months and then after 6 months.
Among 30 patients, 12(40%) were males and 18 (60%) females with male to female ratio 1:1.5. Average age of 30 patients was 59.5 ± 16.72 years (Range =21 to 91 years). Mean duration of surgery was 98.0±27.1 (Range=50 to 150) minutes. Majority 14(46.7%) had operative time 90-110 minutes. There were two complications, one (3.3%) had screw pull out and other had deep infection.
LCP system is a reliable and safe tool that extends the options for fixation by plating and has advantages over the other systems in term of stability that can be achieved with it especially in osteopenic bones.
评估使用锁定加压钢板微创接骨术（MIPO）治疗长骨骨折的影像学和临床结果。
这是一项前瞻性研究，纳入了 2017 年 1 月至 12 月期间 30 例采用 MIPO 联合锁定加压钢板治疗长骨骨折的患者。纳入标准为所有骨骼成熟患者和骨质疏松性骨骼患者。排除标准为开放性损伤、儿科患者和非创伤性条件下进行的钢板固定患者。患者在术后一周、六周、三个月和六个月后作为门诊患者进行随访。
30 例患者中，男性 12 例（40%），女性 18 例（60%），男女比例为 1:1.5。30 例患者的平均年龄为 59.5±16.72 岁（范围=21 至 91 岁）。平均手术时间为 98.0±27.1 分钟（范围=50 至 150 分钟）。大多数患者（46.7%）的手术时间为 90-110 分钟。有 2 例并发症，1 例（3.3%）发生螺钉拔出，另 1 例发生深部感染。
LCP 系统是一种可靠且安全的工具，它通过钢板固定扩展了固定选择，并在稳定性方面优于其他系统，特别是在骨质疏松性骨骼中。
