Isfahan University of Medical Science, Iran
Posters & Accepted Abstracts: Orthop Muscular Syst
Introduction: Treatment of comminuted fractures of long bones has long been a problem in orthopedic surgery. Recently fixation without opening the fracture site known as MIPO (minimally invasive plate osteosynthesis) has been used. We performed this study to assess the result, and complications of this treatment for comminuted fractures of tibia and femur. Method: 49 patients with femoral and tibial comminuted fractures were treated with minimal invasive plate osteosynthesis. After biological fixation, joint motion was started but avoided weight bearing until radiographic evidence of union was occurred. Results: 32 femoral fractures and 17 tibial fractures were evaluated. In 48 patients, union was completed but in one patient with femoral fractures, there was nonunion. After bone graft and giving 9 months to heal, full union achieved. Mean union time in all patients in this study was 18.57Ã?Â±2.42 weeks. According to the t-test exam, all of the results were statistically significant (p=0.09) Conclusion: according to the result of this study and comparing it with others, MIPO is safe, simple and effective method of fixation for comminuted fractures of long bones. It has a high rate of union with minimal complication.
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