A Comparative Study between Minimally Invasive Plate Osteosynthesis versus Open Reduction and Internal Fixation for Distal Third Tibia Fractures
Background: Despite the array of surgical and non-surgical approaches available for treating distal tibia fractures, managing unstable fractures continues to pose a challenge. This study aims to compare the advantages and clinical outcomes of the Minimally Invasive Plate Osteosynthesis (MIPO) and O...
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Tehran University of Medical Sciences
2025-03-01
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| Series: | Journal of Orthopedic and Spine Trauma |
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| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/610 |
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| author | Reza Zandi Shahin Talebi Amir Mehrvar Shirin Sheibani Akbar Ehsani Saeed Nodehi |
| author_facet | Reza Zandi Shahin Talebi Amir Mehrvar Shirin Sheibani Akbar Ehsani Saeed Nodehi |
| author_sort | Reza Zandi |
| collection | DOAJ |
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Background: Despite the array of surgical and non-surgical approaches available for treating distal tibia fractures, managing unstable fractures continues to pose a challenge. This study aims to compare the advantages and clinical outcomes of the Minimally Invasive Plate Osteosynthesis (MIPO) and Open Reduction and Internal Fixation (ORIF) in managing distal third tibia fractures.
Material and method: Our study focused on 60 cases selected based on age and fracture type. A comparative analysis was conducted between the two groups, considering factors such as age, gender, AO fracture type, length of hospital stay, surgical duration, complication rates, time to return to routines, and adherence to the American Orthopaedic Foot and Ankle Surgery (AOFAS) criteria. Statistical analyses were carried out using R-Studio software version 2023.06.1.
Result: The blood loss during surgery was significantly more in the ORIF group (142 ± 56.83 ml vs. 81.83 ± 37.63 ml) (P < 0.05). The incidence of complications was significantly higher in the ORIF group than MIPO group (P < 0.05). Time for back to routines was significantly shorter in the MIPO group (17.63 ± 7.86 weeks vs. 22.36 ± 8.81 weeks) (P < 0.05). There was no significant difference about duration of surgery, time of hospitalization, bone union time, and AOFAS score between the MIPO and ORIF groups.
Conclusion: The optimal method for managing distal tibia fractures remains uncertain due to discrepancies between the outcomes of MIPO and ORIF. We favor MIPO due to its potential for early bone union, quicker return to normal activities, and reduced risk of wound complications.
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| format | Article |
| id | doaj-art-b94b27a72ff64a2bb5ccb74ad1b851fe |
| institution | OA Journals |
| issn | 2538-2330 2538-4600 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj-art-b94b27a72ff64a2bb5ccb74ad1b851fe2025-08-20T01:57:40ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002025-03-0111110.18502/jost.v11i1.18007A Comparative Study between Minimally Invasive Plate Osteosynthesis versus Open Reduction and Internal Fixation for Distal Third Tibia FracturesReza Zandi0Shahin Talebi1Amir Mehrvar2Shirin Sheibani3Akbar Ehsani4Saeed Nodehi5Associate professor of Department of Orthopedic Surgery, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Assistant professor of Department of Orthopedic Surgery, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Associate professor of Department of Orthopedic Surgery, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Medical Doctor, Student Research Committee, School of Medicine, Mazandaran University of Medical Science, Sari, Iran.Orthopedic Surgeon, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Resident of Orthopedic Surgery, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Background: Despite the array of surgical and non-surgical approaches available for treating distal tibia fractures, managing unstable fractures continues to pose a challenge. This study aims to compare the advantages and clinical outcomes of the Minimally Invasive Plate Osteosynthesis (MIPO) and Open Reduction and Internal Fixation (ORIF) in managing distal third tibia fractures. Material and method: Our study focused on 60 cases selected based on age and fracture type. A comparative analysis was conducted between the two groups, considering factors such as age, gender, AO fracture type, length of hospital stay, surgical duration, complication rates, time to return to routines, and adherence to the American Orthopaedic Foot and Ankle Surgery (AOFAS) criteria. Statistical analyses were carried out using R-Studio software version 2023.06.1. Result: The blood loss during surgery was significantly more in the ORIF group (142 ± 56.83 ml vs. 81.83 ± 37.63 ml) (P < 0.05). The incidence of complications was significantly higher in the ORIF group than MIPO group (P < 0.05). Time for back to routines was significantly shorter in the MIPO group (17.63 ± 7.86 weeks vs. 22.36 ± 8.81 weeks) (P < 0.05). There was no significant difference about duration of surgery, time of hospitalization, bone union time, and AOFAS score between the MIPO and ORIF groups. Conclusion: The optimal method for managing distal tibia fractures remains uncertain due to discrepancies between the outcomes of MIPO and ORIF. We favor MIPO due to its potential for early bone union, quicker return to normal activities, and reduced risk of wound complications. https://jost.tums.ac.ir/index.php/jost/article/view/610MIPODistal Third TibiaORIFFractureMinimally Invasive Plate Osteosynthesis |
| spellingShingle | Reza Zandi Shahin Talebi Amir Mehrvar Shirin Sheibani Akbar Ehsani Saeed Nodehi A Comparative Study between Minimally Invasive Plate Osteosynthesis versus Open Reduction and Internal Fixation for Distal Third Tibia Fractures Journal of Orthopedic and Spine Trauma MIPO Distal Third Tibia ORIF Fracture Minimally Invasive Plate Osteosynthesis |
| title | A Comparative Study between Minimally Invasive Plate Osteosynthesis versus Open Reduction and Internal Fixation for Distal Third Tibia Fractures |
| title_full | A Comparative Study between Minimally Invasive Plate Osteosynthesis versus Open Reduction and Internal Fixation for Distal Third Tibia Fractures |
| title_fullStr | A Comparative Study between Minimally Invasive Plate Osteosynthesis versus Open Reduction and Internal Fixation for Distal Third Tibia Fractures |
| title_full_unstemmed | A Comparative Study between Minimally Invasive Plate Osteosynthesis versus Open Reduction and Internal Fixation for Distal Third Tibia Fractures |
| title_short | A Comparative Study between Minimally Invasive Plate Osteosynthesis versus Open Reduction and Internal Fixation for Distal Third Tibia Fractures |
| title_sort | comparative study between minimally invasive plate osteosynthesis versus open reduction and internal fixation for distal third tibia fractures |
| topic | MIPO Distal Third Tibia ORIF Fracture Minimally Invasive Plate Osteosynthesis |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/610 |
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