Functional outcome of tibial condyle fractures treated by mippo technique – 6 months follow up by using knee society and Rasmussen score

Sanjeev, Sukumaran (2016) Functional outcome of tibial condyle fractures treated by mippo technique – 6 months follow up by using knee society and Rasmussen score. Masters thesis, PSG Institute of Medical Sciences and Research, Coimbatore.


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INTRODUCTION: Tibial plateau fractures with intra-articular extension are very difficult to manage. Age, skin conditions, compartment syndrome and osteoporosis further increase the obstacles in the healing process. The ideal treatment of high-energy tibial plateau fractures is controversial. The development of locking implants has allowed the use of minimally invasive technique for unilateral plating with improvement in handling the soft tissue. In our study we have evaluated the functional outcome of locking plate fixation of tibial condyle fractures using minimally invasive technique after a minimum period of 6 months after plate fixation by Rasmussen score and Knee society score. MATERIALS AND METHODS: Tibial plateau fractures treated by minimally invasive plate osteosynthesis using locking compression plate from January 2010 to January 2015 were taken into the study. This was both retrospective as well as a prospective study. All Tibial condyles fractures were graded preoperatively using Schatzker classification. All patiemts were operated using proximal tibia locking plate by MIPPO technique. Patients were followed up postoperatively after a minimum period of six months after surgery. All the patients who had completed the inclusion criteria were called for assessment of functional outcome of knee using Rasmuseen score and knee society score. RESULTS: In our study, Twenty three patients were assessed between January 2010 and January 2015, of which fifteen cases were male and eight of them were female. Lateral plating was done for 11 patients and medial plating was done for 12 patients. Average knee society score was found to be 92.5 and average knee flexion was found to be 120.9 degrees. Complications include valgus malalignment in one patient and flexion contracture of 5-10 degrees in one patient. CONCLUSION: Treatment of intraarticular tibial plateau fractures is still unsolved. Our results in minimally invasive percutaneous plate osteosynthesis(MIPPO) technique is in par with the literature. There is no significant difference in the functional outcome between single plating in our study and dual plating of other studies at midterm followup. Choice of the procedure/implant should be based on the fracture pattern, bone quality and intraoperative fracture reduction.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Functional outcome ; tibial condyle fractures treatement ; mippo technique ; 6 months follow up ; knee society ; Rasmussen score.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 21 Sep 2017 03:46
Last Modified: 21 Sep 2017 16:29

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