Abstract:

Purpose: to evaluate the mid-term results of treatment with the locked compression plate (LCP) placed with the minimal invasive percutaneous plate osteosenthesis (MIPPO) technique in the treatment of open tibia fractures. Methods: Between March 2008 and December 2009, the treatment results of 41 patients (32 Men, 9 Women) with an average age of 32 (distribution 16-64 years) and an average follow-up period of 18 months (distribution 12-30 months) treated by MIPO due to open tibia fractures were retrospective. The Gustillo-Anderson classification was used to clearly classify patients. Accordingly, 13 (%31.7) broken Type I, 21 (%51.2) broken Type II, 6 (%14,6) broken Type IIIA, 1 (%2.4) broken Type III C were considered. The patient’s functional results were determined according to the Karlstrom-Olerud functional assessment criteria. Results: The cooking time of the breaks was an average of 29 weeks (distribution 20-60 weeks). In 41 patients, 38 of them saw full cooking, and 3 saw delay in cooking. 2 of our patients developed plaque insufficiency, one of these patients with autogreft plaque replacement to the other was only plaque replacement. According to the Calstrom-Olerud score, 7 (%17,1) patients were perfect, 27 (%65,9) patients were good, 4 (%9,8) patients were medium, 3 (%7,3) patients were satisfying. In ten patients, a surface infection, a patient with a deep infection, osteomyelitis developed in one patient. Surface infection was treated with oral antibiotics while deep infection and osteomyelitis were treated with serial debridman and parenteral antibiotics. Result: Biological detection with MIPPO technique is an effective method that can be applied in the urgent and permanent treatment of low infection, high coating rate and open tibia fractures.

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