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Salunkhe, Chinmay
- Functional Outcome of Open Reduction Internal Fixation (ORIF) versus Minimally Invasive Plate Osteosynthesis (MIPO) in Distal Third Tibia Fractures
Abstract Views :297 |
PDF Views:95
Authors
Affiliations
1 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Assistant Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Assistant Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 7, No 2 (2020), Pagination: 209-215Abstract
Introduction: Distal Tibia fractures are considered as a surgeon’s nightmare as it is difficult to treat due to less muscle cover, precarious blood supply and its proximity to ankle joint. Here we compare two surgical procedures Open Reduction Internal Fixation (ORIF) and Minimally Invasive Plate Osteosynthesis (MIPO) methods. Aims and Objectives: Study was done to compare results between surgical approaches ORIF vs. MIPO in treatment of lower third tibia fractures. Methodology: The study included 64 patients out of which 32 were treated by ORIF and remaining 32 by MIPO. Outcome was evaluated on the basis of length of incision, duration of surgery, blood loss, duration of stay, mobilization with partial and full weight bearing, AOFAS grading. Results: Length of incision, blood loss, mobilization at full weight bearing was significantly higher in ORIF group as compared to MIPO and was statistically significant. Results and Conclusion: MIPO offers biological advantages over conventional plating techniques in terms of low surgical trauma, preservation of the blood supply, lesser evacuation of osteogenic fracture hematoma and stable construct.Keywords
Fracture, Distal Tibia, Internal Fixation, Plate OsteosynthesisFull Text
References
- Helfet DL, Koval K, et al. Intra-articular pilon fractures of the tibia. Clin Orthop Relat Res. 1994; 298:221–8. https://doi.org/10.1097/00003086-199401000-00029.
- Lee YS, Chen SW, Chen SH, et al. Stabilisation of the fractured fibula plays an important role in the treatment of pilon fractures: A retrospective comparison of fibular fixation methods. Int Orthop. 2009; 695–9. PMid: 18931843 PMCid: PMC2903122. https://doi.org/10.1007/s00264-008-0654-4.
- Ruedi T. Fractures of the lower end of the tibia into the ankle joint: Result 9 years after open reduction and internal fixation. Injury. 1973; 5:130–4. https://doi.org/10.1016/S0020-1383(73)80089-0.
- Reudi T, Matter P, Allgower M, et al. Intra-articular fractures of the distal tibial end. Helv Chir Acta. 1968; 35:556–82..
- Zelle BA, Bhandari M, Espiritu M, Koval KJ, Zlowodzki M. Evidence-based orthopaedic trauma working group. Treatment of distal tibia fractures without articular involvement: A systematic review of 1125 fractures. Journal of Orthopaedic Trauma. 2006 Jan 1; 20(1):76–9. PMid: 16424818. https://doi.org/10.1097/01.bot.0000202997.45274.a1.
- Hasenboehler E, Rikli D, Babst R. Locking compression plate with minimally invasive plate osteosynthesis in diaphyseal and distal tibial fracture: A retrospective study of 32 patients. Injury. 2007 Mar 1; 38(3):365–70. PMid: 17241634. https://doi.org/10.1016/j.injury.2006.10.024.
- Gupta RK, Rohilla RK, Sangwan K, Singh V, Walia S. Locking plate fixation in distal metaphyseal tibial fractures: Series of 79 patients. International Orthopaedics. 2010 Dec 1; 34(8):1285–90. PMid: 19820935 PMCid: PMC2989064. https://doi.org/10.1007/s00264-009-0880-4.
- Ibrahim T, Beiri A, Azzabi M, Best AJ, Taylor GJ, Menon DK. Reliability and validity of the subjective component of the American Orthopaedic Foot and Ankle Society clinical rating scales. The Journal of Foot and Ankle Surgery. 2007 Mar 1; 46(2):65–74. PMid: 17331864. https://doi.org/10.1053/j.jfas.2006.12.002.
- Bedi A, Le TT, Karunakar MA. Surgical treatment of non-articular distal tibia fractures. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2006 Jul 1; 14(7):406–16. PMid: 16822888. https://doi.org/10.5435/00124635-200607000-00003.
- Collinge C, Protzman R. Outcomes of minimally invasive plate osteosynthesis for metaphyseal distal tibia fractures. Journal of Orthopaedic Trauma. 2010 Jan 1; 24(1):24–9. PMid: 20035174. https://doi.org/10.1097/BOT.0b013e3181ac3426.
- Redfern DJ, Syed SU, Davies SJ. Fractures of the distal tibia: Minimally invasive plate osteosynthesis. Injury. 2004 Jun 1; 35(6):615–20. PMid: 15135282. https://doi.org/10.1016/j.injury.2003.09.005.
- Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clinical Orthopaedics and Related Research. 1993 Jul; (292):108–17. https://doi.org/10.1097/00003086-199307000-00013.
- Cheng W, Li Y, Manyi W. Comparison study of two surgical options for distal tibia fracture-minimally invasive plate osteosynthesis vs. open reduction and internal fixation. International Orthopaedics. 2011 May 1; 35(5):737–42. PMid: 20517695 PMCid: PMC3080491. https://doi. org/10.1007/s00264-010-1052-2.
- Guo JJ, Tang N, Yang HL, Tang TS. A prospective, randomised trial comparing closed intramedullary nailing with percutaneous plating in the treatment of distalmetaphyseal fractures of the tibia. The Journal of Bone and Joint Surgery. British Volume. 2010 Jul; 92(7):984–8. PMid: 20595119. https://doi.org/10.1302/0301-620X.92B7.22959.
- McCann PA, Jackson M, Mitchell ST, Atkins RM. Complications of definitive open reduction and internal fixation of pilon fractures of the distal tibia. International Orthopaedics. 2011 Mar 1; 35(3):413–8. PMid: 20352430 PMCid: PMC3047643. https://doi.org/10.1007/s00264-010-1005-9.
- Zou J, Zhang W, Zhang CQ. Comparison of minimally invasive percutaneous plate osteosynthesis with open reduction and internal fixation for treatment of extra articular distal tibia fractures. Injury. 2013 Aug 1; 44(8):1102–6. PMid: 23473266. https://doi.org/10.1016/j.injury.2013.02.006.
- Borg T, Larsson S, Lindsjo U. Percutaneous plating of distal tibial fractures: 199 preliminary results in 21 patients. Injury. 2004 Jun 1; 35(6):608–14. PMid: 15135281. https://doi.org/10.1016/j.injury.2003.08.015.
- Guo JJ, Tang N, Yang HL, Tang TS. A prospective, randomised trial comparing closed intramedullary nailing with percutaneous plating in the treatment of distal metaphyseal fractures of the tibia. J Bone Joint Surg Br. 2010 Jul; 92(7):984–8. PMid: 20595119. https://doi.org/10.1302/0301-620X.92B7.22959.
- Gawali SR, Kukale SB, Nirvane PV, Toshniwal RO. Management of fractures of distal third tibia by interlock nailing. The Journal of Foot and Ankle Surgery (Asia-Pacific). 2016; 3(1):15–22. https://doi.org/10.5005/jp-journals-10040-1043
- Functional Outcome of Bone Patellar Tendon Bone Graft in Anterior Cruciate Ligament Reconstruction
Abstract Views :139 |
PDF Views:85
Authors
Affiliations
1 Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
2 Former PG Student, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India., IN
3 Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
4 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research, Centre, Nashik – 422003, Maharashtra, India ., IN
1 Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
2 Former PG Student, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India., IN
3 Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
4 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research, Centre, Nashik – 422003, Maharashtra, India ., IN
Source
MVP Journal of Medical Sciences, Vol 9, No 1 (2022), Pagination: 30 - 36Abstract
Background: Anterior Cruciate Ligament (ACL) tear is the one of the common among ligamentous injury to the knee joint. Various surgical methods have been advised for the anterior cruciate ligament reconstruction with different kinds of grafts which have own merits and demerits. Bone patellar tendon bone is one of the commonly used autograft for ACL reconstruction. Aim of this study was to analyze the functional outcome following arthroscopic ACL reconstruction using Bone patellar Tendon Bone graft (BTB). Materials and Methods: Between 2017 and 2019, 32 patients with an average age of 27 years (range: 19-51 years) participated in a prospective study. The patients were arthroscopically treated with a bone-patellar tendon-bone graft. Physiotherapy and appropriate post-operative care were provided. The patient’s functional status was assessed at three-month, six-month, and one-year intervals. We assess knee joint stability and normal knee function using clinical tests. To evaluate the findings, we used the Tegner Lysholm knee score as well as the VAS score. Results: In terms of clinical outcomes, 93 percent of patients had normal or near-normal knee function. According to the Tegner-Lysholm knee rating system, 88 percent of the patients received an excellent score. At the end of one year, 27 out of 32 patients have no pain on the VAS score. Anterior knee discomfort (10%) and numbness above the graft donor site were the most common consequences (8 percent). Conclusion: Based on objective and subjective assessments, ACL reconstruction employing the bone-patellar tendon-bone approach could produce a very satisfactory functional outcome. Improved knee stability and function allow for a quicker return to everyday activities.Keywords
Anterior Cruciate Ligament (ACL), Arthroscopic Repair, Bone Patellar Tendon Bone graft (BTB)Full Text
References
- Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee: a biomechanical study. J Bone Joint Surg 1980; 62-A:259-70. https:// doi.org/10.2106/00004623-198062020-00013
- Levine JW, Kiapour AM, Quatman CE, et al. Clinically relevant injury patterns after an anterior cruciate ligament injury provide insight into injury mechanisms. Am J Sports Med 2013; 41:385-95. https://doi.
- org/10.1177/0363546512465167 PMid:23144366 PMCid: PMC3935824
- Quatman CE, Kiapour AM, Demetropoulos CK, et al.Preferential loading of the ACL compared with the MCL during landing: a novel in sim approach yields the multiplanar mechanism of dynamic valgus during ACL injuries. Am J Sports Med 2014; 42:177-86. https://doi. org/10.1177/0363546513506558 PMid:24124198 PMCid: PMC3927458
- Scott Tashman, Sebastian Kopf, Freddie Fu:The kinematic basis of ACL reconstruction. Open Tech Sports Medicine.2008; 16(3): 116-8. https://doi.org/10.1053/j.otsm.2008.10.005 PMid:19578485 PMCid:PMC2677828
- Logerstedt, David S et al.Knee pain and mobility impairments: meniscal and articular cartilage lesions.The Journal of orthopaedic and sports physical therapy 2010;40(6) :1-A35. https://doi.org/10.2519/jospt.2010.0304 PMid:20511698 PMCid:PMC3204363
- Strand T, Molster A, Hordvik M, Krukhaug Y. Long-term follow-up after primary repair of the anterior cruciate ligament: clinical and radiological evaluation 15-23 years postoperatively. Arch Orthop Trauma Surg 2005; 125:21721. https://doi.org/10.1007/s00402-004-0766-2 PMid: 15875231
- Denti M, Quaglia A, et al. Arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone. Arthroscopy: Basic to Advanced. 1st ed Italy: Springer; 2016 .p. 223-7. https://doi.org/10.1007/978-3-662-493762_20
- Smith AS. The diagnosis and treatment of the injuries to thecruciate ligaments. Br J Surg. 2015; 6(22) 176-89. https:// doi.org/10.1002/bjs.1800062205
- Jones KG. Reconstruction of the anterior cruciate ligament using the central one third of the patellar tendon- A follow up report. J Bone Joint Surg. 1970; 52A:1302-8 https://doi.org/10.2106/00004623-197052070-00002
- Groes EWH. The cruciate ligaments of the knee joint.Their function, rupture and operative treatment of thesame. Br J Surg. 1920; 7:505-15. https://doi.org/10.1002/ bjs.1800072809
- Reiman PR, Jackson DW. Anatomy of the anterior cruciate ligament. In: Jackson DW, Drez D, editors; 1987. p. 17-26.
- Xie X, et al. A meta-analysis of bone-patellar tendon-bone autograft versus four- Strand hamstring tendon autograft for anterior cruciate ligament reconstruction. The Knee March. 2015; 22(2):100 -110. https://doi.org/10.1016/j.knee.2014.11.014 PMid:25547048
- Jomha NM, Pinczewski LA, Clingeleffer A, Otto DD. Arthroscopic reconstruction of the anterior cruciate ligament with patellar-tendon autograft and interference screw fixation. The results at seven years. J Bone Joint Surg Br. 1999; 81:775-9. https://doi.org/10.1302/0301620X.81B5.0810775 PMid:10530835
- Chaudary D, Monga P, Joshi D, Easwaran J, Bhatia N, Singh A. Arthroscopic reconstruction of the anterior cruciate ligament using bone-patellar tendon-bone autograft. Experience of the first 100 cases. J Orth Surg. 2005; 13:147-52. https://doi.org/10.1177/230949900501300207 PMid:16131676
- Kumar PK, Rambabu P, Srinivasarao K, et al. Functional outcome of arthroscopic reconstruction of anterior cruciate ligament tears. J Evolution Med Dent Sci. 2016; 5(10):42732. https://doi.org/10.14260/jemds/2016/98
- Glodblat JP, Sean EF, Ethan Balk. Reconstruction of the anterior cruciate ligament: Meta analysis of the patellar tendon versus hamstring tendon autograft. Arthroscopy. 2005; 21(7):791-803. https://doi.org/10.1016/j.arthro.2005.04.107 PMid:16012491
- Corry IS, Webb JS, Pincezewski LA. Arthroscopic reconstruction of the anterior cruciate ligament: A comparison of patellar tendon autograft and four strand hamstring tendon autograft. Am J Sports Med. 1999; 27:444-54. https://doi. org/10.1177/03635465990270040701 PMid:10424213
- Fu FH, Bennett CH, Lattermann C. Current trends in anterior cruciate ligament reconstruction. Part II: Operative procedure and clinical correlation. Am J of Sports Med. 2000; 28:124-30. https://doi.org/10.1177/03635465000280 010801 PMid:10653557
- Otero AL, Hutchenson L. A comparison of the doubled semitendinosus/gracilis and central third of the patellar tendon autografts in arthroscopic anterior cruciate ligament reconstruction. The J of Arthroscopic related Surg. 1993; 9(2):143-8. https://doi.org/10.1016/S0749-8063(05)80363-9 PMid:8461070
- Fox JA, Nedeff DD, Bach BR, Spindler KP. Anterior cruciate ligament reconstruction with patellar autograft tendon. Clinical Orthopaedics and Related Research. 2002; 402:53- 63. https://doi.org/10.1097/00003086-200209000-00006PMid: 12218472
- Ebrahim SA, Al Kusarry, Noor TAE. Clinical evaluation of arthroscopically assisted anterior cruciate ligament reconstruction: Patellar tendon versus gracilis and semitendinosus autograft. Arthroscopy. 2005; 21(4):412-7. https:// doi.org/10.1016/j.arthro.2004.12.002 PMid:15800520 .