Minimally invasive percutaneous plate osteosynthesis for treatment fracture of tibia plateau

Objective To compare the efficacy of minimally invasive percutaneous plate the fixed( MIPPO) and open reduction and internal fixation for tibial plateau fractures. Methods Retrospective study of 46 patients with tibial plateau fractures admitted to Haushan People,s hospital during January 2006 to August 2012 was conducted. Group M( 21 cases) underwent minimally invasive percutaneous plate osteosynthesis( MIPPO) while group S( 25 cases) underwent open reduction and internal fixation. After the surgery,patients were followed up ranging from 11 months to 18 months. The excellent rate of outcomes,hospital stay and bone recovery time as well as incidence of complications of the two groups were compared. Results For group S,the average hospital stay was 17. 5d,bone recovery time was 15. 5 weeks,and the complication included infection and topical skin necrosis respectively observed in 1 case,and joint stiffness in 1case. For group M,the average hospital stay was 14. 8 d,bone recovery time was 11. 2 weeks,and no complication occurred in all cases.The average HSS scoring of M group was 91. 5 points( from 78 to 95 points),and the excellent rate was 90. 5% including excellent in16 cases,good in 3 cases,moderation in 2 cases; In S group,the average HSS scoring was 79. 8 points( from 61 to 88) and the excellent rate was 80% including excellent in 15 cases,good in 5 cases and moderation in 5 cases. There were significant differences in the average hospital stay,bone recovery time and the average HSS scoring between the two groups. Conclusions MIPPO reduces the average hospital stay and bone recovery time,and improves knee function recovery. Therefore,it is a safe and effective procedure for the tibial plateau fractures.