Comparative Analysis of Functional Outcomes in Open vs. Minimally Invasive Fixation of Tibial Fractures

Résumé fourni par la source

Background: Tibial fracture is among the commonest long bone injury and is highly morbid. Even though open reduction and internal fixation (ORIF) was a traditional method, minimally invasive plate osteo-synthesis (MIPO) is becoming more popular as a procedure has fewer soft tissue disruptions and improved biological recovery. This study was intended to compare the functional outcome of ORIF and MIPO in repairing tibial fractures. Methods: Random assignment was done to 120 tibial fracture patients in two groups of Group A (ORIF, n=60) and Group B (MIPO, n=60). Conditional demographic and clinical characteristics were observed. Functional recovery was measured using union time, the range of motion (ROM) and complication rates. The data were analyzed using independent t -tests and chi -square tests, and p = 0.05 was considered to be statistically significant. Results: The characteristics such as age and gender distribution did not differ between groups at baseline (p > 0.05). MIPO patients had reduced mean union time (18.6 ±3.2 weeks vs. 21.4±3.7 weeks, p = 0.01) and higher knee and ankle ROM at the end of follow-ups (p = 0.03). There were 4 (6.7%) patients infected in the MIPO group versus 9 (15.0%) in the ORIF group, and delayed union was seen in 3 (5.0%) in the MIPO group versus 8 (13.3%) in the ORIF group both significantly lower. The MIPO-treated patients had higher functional outcome scores in a consistent manner. Conclusion: MIPO is linked to better healing, better joint mobility and few complications in relation to ORIF in tibial fractures.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.