![]() At present, MIPPO is widely applied in the treatment of Pilon fractures with fibular fractures and has shown promising therapeutic results. Some scholars believe that MIPPO is suitable for treating comminuted fractures with lots of bone fragments, numerous cancellous bones and a large contact surface. Generally, MIPPO does not require cutting the fracture end, so it can maximize the preservation of blood supply to the fracture and is conducive to fracture healing. During MIPPO, an incision of approximately 3 cm in length was made at one end of the fracture, and then a steel plate was inserted percutaneously after the force line and alignment of the fracture were restored, the screw was inserted percutaneously for fixation. Minimally invasive percutaneous plate osteosynthesis (MIPPO) was first proposed by Krettek et al. ![]() Therefore, double-hooked locking plates are worthy of clinical application. Conclusionĭouble-hooked locking plates have advantages in the treatment of comminuted distal fibular fractures accompanied by tibial Pilon fractures during MIPPO due to their shorter operating time and less intraoperative bleeding, as well as shorter hospital stays, full weight-bearing time and fracture healing time, fewer complications and better ankle recovery. ![]() Patients in the study group experienced better ankle recovery than those in the control group (93.75% vs. Patients in the study group had shorter operating time, less bleeding, significantly shorter hospital stays, and shorter time to full weight-bearing as well as fracture healing compared to the control group ( P 0.05). The quality of fracture reduction was evaluated using the Burwell–Chamley imaging scoring system the ankle function was assessed based on the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score. The operating time, intraoperative bleeding, length of hospital stays, full weight-bearing time, fracture healing time and complication rates in the two groups were compared. Patients in the study group ( n = 48) received double-hooked locking plate fixations and the control group ( n = 48) received anatomical plate fixations. MethodsĬlinical data were collected from 96 patients diagnosed with comminuted distal fibular fractures accompanied by tibial Pilon fractures who had undergone MIPPO. This study compared the efficacy of double-hooked locking plates and anatomic plates in minimally invasive percutaneous plate osteosynthesis (MIPPO) for the treatment of comminuted distal fibular fractures accompanied by tibial Pilon fractures. You’ll also need to use a walker, crutches, or a cane for a few months after your injury.įollow all of your provider’s instructions carefully.Surgical approach and fixation material are crucial in the treatment of comminuted distal fibular fractures accompanied by tibial Pilon fractures. The exercises will help build up strength and increase your range of motion. This can be taken off during physical therapy. You may have a removable brace or splint. After your leg has healed a bit, you may start physical therapy exercises. The plates and screws may be removed weeks or months later. If the fixation is out of the skin, it is called external fixation. They may also be held in place with special plates and screws. While you wait, you may need to have a splint or an external fixator.ĭuring surgery, the bones are lined up correctly. Your surgery may wait until the swelling has gone down. If the bones of your pilon fracture are out of place, you'll likely need surgery. ![]() If the bones of your tibia still line up correctly, you will have treatments such as:Ī cast or boot, once the swelling goes down ![]() Treatment for pilon fracture of the ankle ![]()
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