Extra-articular distal tibia facture (AO-43A): A retrospective study comparing modified MIPPO with IMN.

Injury 2016 Oct 25;47(10):2352-2359. Epub 2016 Jul 25.

Department of Orthopaedics, Shanghai Sixth People's Hospital, 600 Yishan Road, Shanghai 200233, China.

Purpose: We introduce a new MIPPO procedure which is simple and effective for the treatment of extra-articular distal tibia facture (AO-43A). The aim of this retrospective study was to compare our modified MIPPO with IMN.

Materials And Methods: This retrospective study included 64 patients treated with our modified MIPPO and 61 patients with IMN. The data of sex, age, operation time, blood loss, wound complications, mal-reduction, shortening and fracture healing was analyzed.

Results: The operation time was significantly shorter in the MIPPO group than in the IMN group (56.0min vs. 85.0min, P<0.001). There were 5 patients (8.2%) in the IMN group and 2 patients (3.1%) in the MIPPO group who had wound complications (P=0.399). Mal-reduction occurred in 17 patients (27.9%) managed with IMN and in 3 patients (4.7%) who had MIPPO (P<0.001). Furthermore, no patients had a left/right difference in the length of the tibia of >1cm and nonunion in both groups.

Conclusions: Our results have shown that our modified MIPPO has enormous advantages over IMN for extra-articular distal tibia fracture (AO-43A).

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http://dx.doi.org/10.1016/j.injury.2016.07.023DOI Listing
October 2016
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