Comparative Study between Supracutaneous Plate and Minimally Invasive Plate Osteosynthesis in Distal Tibia Fracture

Document Type : Original Research Papers

Authors

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Abstract

Tibial fractures are the most common fracture of long bones. These wounds result from high-vitality injury, for example, tumble from tallness and vehicle accidents.Management of distal tibia breaks, with or without articular association, is a restorative test. Numerous osteosynthesis procedures can be utilized for these breaks and these methods have favorable circumstances and disservices and there is no agreement concerning the administration of these cracks. Randomized forthcoming examination included 40 patients with distal third extra-articular tibia shaft cracks (20 rewarded with supracutaneous – LCP and 20 with MIPO plate), were chosen dependent on the break example and grouped utilizing the AO characterization (AO/OTA types 43A and distal 42A-C as it were). Gathering I, 15% of patients accomplished relationship between 20-24 weeks, 70% of patients accomplished joining between 17-20 weeks and 15% of patients accomplished association ≤ four months. In Group II, 5% of patients accomplished association ≥ 24 weeks, 10% of patients accomplished relationship between 20-24 weeks and 40% of patients accomplished joining between 17-20 weeks and in 45% of patients association took ≤ four months. The Lower Extremity Functional Scale is 74.87% in supracutaneous plate bunch l with mean (60.3±4.87). Furthermore, 75.93% in Mipo bunch ll with mean (60.3±4.87).with no measurably noteworthiness, (P. esteem is 0.481). This examination results show a predominance of supracutaneous plate over MIPO method as far as expelled after association with most straightforward expulsion, lower paces of profound contaminations and shorter opportunity to full weight bearing. Though MIPO procedure gave off an impression of being profitable over supracutaneous plate as far as prompting a superior anatomical and fixed decreases of the crack, a fast and straight forward application, has a diminished careful time and a lower pace of association difficulties.