Clinical outcomes of minimal invasive plate osteosynthesis in comminuted fracture of long bones

Dr. Gagan Khanna, Dr. Sumit Bhatia, Dr. Aarti Dewan, Divyant Randhawa
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Abstract

Background: MIPO technique, with less periosteal stripping, may facilitate bone healing by preserving soft tissue and promoting oxygen tension in the fracture hematoma. The present study was conducted to assess the functional and clinical outcomes of Minimal Invasive Plate Osteosynthesis in comminuted fracture of long bones. Materials & Methods: A total of 28 patient’s patients were selected for the study. After a patient with comminuted fractures of long bones was admitted to the hospital, all the necessary clinical details were recorded in proforma prepared for surgery. The cases were studied on the basis of gender, age, site of injury, classification and mode of injury. Postoperatively, patients were evaluated for radiological investigations and functional outcome. Results: The mean age of the patients was 38.03 years and 24 (86%) were males. Outcome was excellent in 16 patients (61.54%) followed by Good in 7 patients (26.93%) and Poor in 3 patients (11.53%) due to non-union. Conclusion: Minimally Invasive Plate Osteosynthesis (MIPO) technique using Locking Compression Plate (LCP) is a safer and better procedure than the conventional techniques used to manage comminuted fractures of long bones.
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微创钢板内固定治疗长骨粉碎性骨折的临床效果
背景:MIPO技术,较少的骨膜剥离,可能通过保留软组织和促进骨折血肿中的氧张力来促进骨愈合。本研究旨在评估微创钢板内固定治疗长骨粉碎性骨折的功能和临床效果。材料与方法:共选择28例患者进行研究。一位长骨粉碎性骨折患者入院后,所有必要的临床细节都记录在手术准备的形式文件中。根据性别、年龄、损伤部位、损伤分类和损伤方式对病例进行分析。术后,对患者进行影像学检查和功能预后评估。结果:患者平均年龄38.03岁,男性24例(86%)。结果优16例(61.54%),良7例(26.93%),不愈合差3例(11.53%)。结论:采用锁定加压钢板(LCP)的微创钢板内固定(MIPO)技术是治疗长骨粉碎性骨折较传统技术更安全、更好的方法。
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