MINIMAL INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS OF FRACTURE OF TIBIA

BGanesh Bahadur Gurung, Mukuda Dahal, Rajendraman Pradhan, Ramesh Basnet Shri Krishna Giri, Dirga Raj RC,

Abstract


A prospective study of minimally invasive plate osteosynthesis of the 30 fracture tibia was done at Koshi zonal hospital. Out of 30 fractures 29 cases had single tibia fracture and one case had bilateral fracture of the tibia. 21 cases had lower 3rd fracture, 6 cases had middle 3rd fracture and remaining cases had fracture at the upper 3rd of the diaphysis and diaphysio-metaphysial area of the tibia. All were treated with biological platting technique by indirect reduction and minimal opening at fracture site to see the perfect reduction and minimal opening at the introduction site of the plate. All cases were united. 62.7% cases showed radiological union 14 to 18 weeks and remaining 33.0 % showed in between 20-24 weeks period.93% cases had full weight bearing in 24 weeks. One case required bone grafting and partial fibulectomy. None of the cases had complication except superficial infection of 2 cases. Range of motion of knee and ankle were excellent. Functional outcome of the long-term result were excellent to good in 93.40% and fair result in 2 cases.

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