A study of Complications after Minimally Invasive Percutaneous Plate Osteosyntheisis (MIPPO) Technique in patients of Tibial Platue Fracture

RAJESH AMBULGEKAR; MADHUSUDAN KALE

Volume : V, Issue : IV, April - 2016

A study of Complications after Minimally Invasive Percutaneous Plate Osteosyntheisis (MIPPO) Technique in patients of Tibial Platue Fracture

Rajesh Ambulgekar, Madhusudan Kale

Abstract :

Introduction: Both conservative and operative treatments have achieved good results for tibial plateau fractures . Aims and Objectives: To study of Complications after Minimally Invasive Percutaneous Plate Osteosyntheisis (MIPPO) Technique in patients of Tibial Platue Fracture Methodology: This is institutional based prospective study which comprises of 50 patients with displaced tibial plateau fracture and were treated between jan 2012 to jun 2013 with minimal invasive percutaneous plate osteosynthesis (MIPPO). Statistical analysis done by Chisquare test. Result: Majority of our patients (68%) were in middle age group i.e. 31–50 years. The ratio between male to female was 2.57:1 in this study superficial infection in form of local stitch abscess developed in two patients, which subsided after local deidement and intravenous antibiotics. Deep infection in form of frank pus from surgical wound developed in one patient with grade I compound injury which subsided after thorough deidement and wound wash in operation theatre after two weeks. One patient with Schatzker�s type V fracture and grade I compound injury gone in delayed union due to chronic infection which eventually united on 22nd weeks. Loss of range of motion developed in two patients. Two patients developed deformity out of which one developed varus and another one developed valgus. Two patients developed instability at knee joint and those patients also had extension lag more than 10 degrees Conclusions: Deep infection, delayed union, Loss of range of motion, development of varus or Valgus deformity, instability at knee joint, extension lag more than 10 degrees were some of the common complications observed in our study.