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Article: Wound complication of minimally invasive plate osteosynthesis in distal tibia fractures

TitleWound complication of minimally invasive plate osteosynthesis in distal tibia fractures
Authors
Issue Date2008
PublisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/264
Citation
International Orthopaedics, 2008, v. 32 n. 5, p. 697-703 How to Cite?
AbstractNowadays, the use of minimally invasive plate osteosynthesis (MIPO) in the management of fracture of the distal tibia is common. The various advantages of the MIPO technique, namely, preserving blood supply and better bone healing, have been described extensively in the literature. However, this technique is not without complication. Among all the complications, infection is one of the commonest. In the last 3 years, we have performed 48 cases of MIPO in treating distal tibia fractures. Our study was to evaluate the clinical outcome of these cases, with special attention to the infection rate and our experience in managing these infection cases. Our results showed that the average time until the patient started to bear full weight was 9.4 weeks. The average time for bony union was 18.7 weeks. There were 7 cases of late infection among these 48 cases. The rate was 15%. The presence of late infection had no obvious effect on the time to bony union. Twenty-five patients (52%) had the implants removed and the most common reason was skin impingement by the implant. The clinical presentation and management of these late infections are discussed. In conclusion, MIPO fixation of distal tibia fractures using a metaphyseal locking plate is safe and efficient. However, complications such as late wound infection and impingement are relatively common. The overall clinical outcome is still good despite the presence of these complications. © 2007 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/132160
ISSN
2015 Impact Factor: 2.387
2015 SCImago Journal Rankings: 1.508
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, TWen_HK
dc.contributor.authorLeung, Fen_HK
dc.contributor.authorChan, CFen_HK
dc.contributor.authorChow, SPen_HK
dc.date.accessioned2011-03-15T01:50:58Z-
dc.date.available2011-03-15T01:50:58Z-
dc.date.issued2008en_HK
dc.identifier.citationInternational Orthopaedics, 2008, v. 32 n. 5, p. 697-703en_HK
dc.identifier.issn0341-2695en_HK
dc.identifier.urihttp://hdl.handle.net/10722/132160-
dc.description.abstractNowadays, the use of minimally invasive plate osteosynthesis (MIPO) in the management of fracture of the distal tibia is common. The various advantages of the MIPO technique, namely, preserving blood supply and better bone healing, have been described extensively in the literature. However, this technique is not without complication. Among all the complications, infection is one of the commonest. In the last 3 years, we have performed 48 cases of MIPO in treating distal tibia fractures. Our study was to evaluate the clinical outcome of these cases, with special attention to the infection rate and our experience in managing these infection cases. Our results showed that the average time until the patient started to bear full weight was 9.4 weeks. The average time for bony union was 18.7 weeks. There were 7 cases of late infection among these 48 cases. The rate was 15%. The presence of late infection had no obvious effect on the time to bony union. Twenty-five patients (52%) had the implants removed and the most common reason was skin impingement by the implant. The clinical presentation and management of these late infections are discussed. In conclusion, MIPO fixation of distal tibia fractures using a metaphyseal locking plate is safe and efficient. However, complications such as late wound infection and impingement are relatively common. The overall clinical outcome is still good despite the presence of these complications. © 2007 Springer-Verlag.en_HK
dc.languageeng-
dc.publisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/264en_HK
dc.relation.ispartofInternational Orthopaedicsen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subject.meshAbscess - epidemiology-
dc.subject.meshBone Plates-
dc.subject.meshCellulitis - epidemiology-
dc.subject.meshFracture Fixation, Internal - adverse effects - methods-
dc.subject.meshTibial Fractures - surgery-
dc.titleWound complication of minimally invasive plate osteosynthesis in distal tibia fracturesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0341-2695&volume=32&issue=5&spage=697&epage=703&date=2008&atitle=Wound+complication+of+minimally+invasive+plate+osteosynthesis+in+distal+tibia+fractures-
dc.identifier.emailLeung, F: klleunga@hku.hken_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.authorityLeung, F=rp00297en_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1007/s00264-007-0384-zen_HK
dc.identifier.pmid17572892-
dc.identifier.pmcidPMC2551726-
dc.identifier.scopuseid_2-s2.0-52649117485en_HK
dc.identifier.hkuros171779-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-52649117485&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume32en_HK
dc.identifier.issue5en_HK
dc.identifier.spage697en_HK
dc.identifier.epage703en_HK
dc.identifier.isiWOS:000259463700020-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridLau, TW=42761610400en_HK
dc.identifier.scopusauthoridLeung, F=7103078631en_HK
dc.identifier.scopusauthoridChan, CF=36984592600en_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK
dc.identifier.citeulike3729686-

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