Minimally invasive plate osteosynthesis in open pediatric tibial fractures


Ozkul E., Gem M., Arslan H., Alemdar C., Azboy İ., Arslan S. G.

Journal of Pediatric Orthopaedics, cilt.36, sa.4, ss.416-422, 2016 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 36 Sayı: 4
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1097/bpo.0000000000000451
  • Dergi Adı: Journal of Pediatric Orthopaedics
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.416-422
  • Anahtar Kelimeler: Open fracture, Osteosynthesis with plating, Pediatric tibia
  • İstanbul Medipol Üniversitesi Adresli: Hayır

Özet

Objectives: The aim of this study is to investigate the effectiveness and reliability of limited-contact locking plates in minimally invasive percutaneous osteosynthesis (MIPO) of the lateral tibia. Design: A retrospective study. Patients and Methods: The retrospective study included 14 patients who were operatively treated with an MIPO technique due to open tibial fractures between 2006 and 2012. The patients were 11 males and 3 females with a mean age of 13.2 (range, 9 to 16) years. The patients were followed up for a mean period of 2.4 (range, 1 to 5) years. The mechanism of the injuries included a motor vehicle accident (n=11), a shotgun injury (n=2), and a fall from height (n=1). According to the Gustilo-Anderson classification, 10 patients had type I (72%), 2 had type II (14%), and 2 had type III (14%) open fractures. Results: The mean time to radiologic union was 18 (range, 11 to 32) weeks. No infection was detected that would require implant removal. No complications such as early epiphyseal closure, angulation, or limb-length inequality were observed. Conclusions: Limited-contact locking plates in MIPO of the lateral tibia is an effective alternative method in the treatment of open pediatric tibial fractures.