بررسي نتايج استفاده از تكنيك پلاك گذاري با حداقل دستكاري در شكستگي هاي چند قطعه اي استخوان تي بيا

A Study on the Results of Minimally Invasive Plating Osteosynthesis in Comminuted Tibial Fractures

Introduction: Comminuted tibial fractures, as a result of increment of vehicles traffic and accidents, are very common, especially in young adults. These fractures can lead to long-term disabilities and, in some instances, limb deficiencies. Because of various complications of these fractures, providing the best and rapid treatment is very important. The goal of this study was to determine the outcomes of using minimal invasive technique, which refers to a new method. Materials & methods: This study is a prospective one, carried out on 40 patients with comminuted tibial fractures. The patients had referred in the course of seven months and undergone plating surgery with minimal manipulation, then followed up for an average of 8.5 months. The follow-up evaluation study included the time of union and the status of extremities in the view point of rotation, shortening and lengthening. Findings: The results showed that complete union rate was 77.5% in six months and 100% in nine months. There was no serious complication in the follow-up period other than a few slight infections. There was a statistically significant correlation between age and union. Lengthening of the extremities ranging from 1-1.5 cm was observed in 10 patients, while shortening of lower than 1cm was also observed in 4 patients. Rotation disorder existed in 8 patients with external rotation and in 2 patients with internal rotation. Conclusion: The plating technique with minimal manipulation leads to an increase in the union rate and a decrease in the treatment duration. The basic principle of this method is not damaging the soft tissue at the fracture site. Attention to technique is most important for avoidance of rotational and limb lengths deformities.