{"title":"胫骨近端骨折患者微创经皮钢板骨合成术的功能结果","authors":"M. Saeed, M. Inam, SU Haq","doi":"10.54112/bcsrj.v2024i1.891","DOIUrl":null,"url":null,"abstract":"Proximal tibia fractures are complex injuries that pose significant challenges in orthopaedic surgery. Minimally invasive percutaneous plate osteosynthesis (MIPPO) has been increasingly adopted as a treatment method due to its potential benefits in reducing soft tissue damage and promoting faster recovery. Objective: To assess the functional outcome of minimally invasive percutaneous plate osteosynthesis (MIPPO) among patients with proximal tibia fractures. Methods: A prospective cohort study was conducted in a tertiary care hospital over a period of two years, from January 2021 to December 2022. Thirty-five patients presenting with proximal tibia fractures were treated using the MIPPO technique. The Schatzker classification was used to categorize the fractures. Functional outcomes were assessed using the Knee Society Score (KSS) at six months postoperatively. Data were analyzed using descriptive statistics and chi-square tests to determine the significance of outcomes. Results: The most frequent type of fracture, according to Schatzker's classification, was type I, followed by type II and type III. An excellent outcome was observed in 21 patients (60%), good outcomes in 8 patients (22.9%), fair outcomes in 5 patients (14.3%), and poor outcomes in 1 patient (2.9%). Postoperative complications included infection in 2 patients (5.7%). Conclusion: Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a safe and effective technique for managing proximal tibia fractures, yielding excellent functional outcomes in most patients.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"FUNCTIONAL OUTCOME OF MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS AMONG PATIENTS WITH PROXIMAL TIBIA FRACTURES\",\"authors\":\"M. Saeed, M. Inam, SU Haq\",\"doi\":\"10.54112/bcsrj.v2024i1.891\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Proximal tibia fractures are complex injuries that pose significant challenges in orthopaedic surgery. Minimally invasive percutaneous plate osteosynthesis (MIPPO) has been increasingly adopted as a treatment method due to its potential benefits in reducing soft tissue damage and promoting faster recovery. Objective: To assess the functional outcome of minimally invasive percutaneous plate osteosynthesis (MIPPO) among patients with proximal tibia fractures. Methods: A prospective cohort study was conducted in a tertiary care hospital over a period of two years, from January 2021 to December 2022. Thirty-five patients presenting with proximal tibia fractures were treated using the MIPPO technique. The Schatzker classification was used to categorize the fractures. Functional outcomes were assessed using the Knee Society Score (KSS) at six months postoperatively. Data were analyzed using descriptive statistics and chi-square tests to determine the significance of outcomes. Results: The most frequent type of fracture, according to Schatzker's classification, was type I, followed by type II and type III. An excellent outcome was observed in 21 patients (60%), good outcomes in 8 patients (22.9%), fair outcomes in 5 patients (14.3%), and poor outcomes in 1 patient (2.9%). Postoperative complications included infection in 2 patients (5.7%). Conclusion: Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a safe and effective technique for managing proximal tibia fractures, yielding excellent functional outcomes in most patients.\",\"PeriodicalId\":504575,\"journal\":{\"name\":\"Biological and Clinical Sciences Research Journal\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-06-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Biological and Clinical Sciences Research Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.54112/bcsrj.v2024i1.891\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biological and Clinical Sciences Research Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.54112/bcsrj.v2024i1.891","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
胫骨近端骨折是一种复杂的损伤,给骨科手术带来了巨大挑战。微创经皮钢板骨合成术(MIPPO)在减少软组织损伤和促进快速康复方面具有潜在优势,因此已被越来越多地采用为一种治疗方法。目的评估微创经皮钢板骨合成术(MIPPO)对胫骨近端骨折患者的功能效果。方法:一项前瞻性队列研究:一项前瞻性队列研究于 2021 年 1 月至 2022 年 12 月在一家三级医院进行,为期两年。35 名胫骨近端骨折患者接受了 MIPPO 技术治疗。采用 Schatzker 分类法对骨折进行分类。术后6个月采用膝关节社会评分(KSS)评估功能结果。采用描述性统计和卡方检验对数据进行分析,以确定结果的显著性。结果根据 Schatzker 的分类,最常见的骨折类型是 I 型,其次是 II 型和 III 型。21名患者(60%)的疗效为优,8名患者(22.9%)的疗效为良,5名患者(14.3%)的疗效为一般,1名患者(2.9%)的疗效为差。术后并发症包括 2 名患者(5.7%)发生感染。结论微创经皮钢板骨合成术(MIPPO)是治疗胫骨近端骨折的一种安全有效的技术,大多数患者都能获得良好的功能效果。
FUNCTIONAL OUTCOME OF MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS AMONG PATIENTS WITH PROXIMAL TIBIA FRACTURES
Proximal tibia fractures are complex injuries that pose significant challenges in orthopaedic surgery. Minimally invasive percutaneous plate osteosynthesis (MIPPO) has been increasingly adopted as a treatment method due to its potential benefits in reducing soft tissue damage and promoting faster recovery. Objective: To assess the functional outcome of minimally invasive percutaneous plate osteosynthesis (MIPPO) among patients with proximal tibia fractures. Methods: A prospective cohort study was conducted in a tertiary care hospital over a period of two years, from January 2021 to December 2022. Thirty-five patients presenting with proximal tibia fractures were treated using the MIPPO technique. The Schatzker classification was used to categorize the fractures. Functional outcomes were assessed using the Knee Society Score (KSS) at six months postoperatively. Data were analyzed using descriptive statistics and chi-square tests to determine the significance of outcomes. Results: The most frequent type of fracture, according to Schatzker's classification, was type I, followed by type II and type III. An excellent outcome was observed in 21 patients (60%), good outcomes in 8 patients (22.9%), fair outcomes in 5 patients (14.3%), and poor outcomes in 1 patient (2.9%). Postoperative complications included infection in 2 patients (5.7%). Conclusion: Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a safe and effective technique for managing proximal tibia fractures, yielding excellent functional outcomes in most patients.