Minimally Invasive Percutaneous Plate Stabilization Using a Medial Locking Plate for Proximal Tibial Fractures - Technical Note -

Jae Ang Sim; Beom Koo Lee; Kwang Hui Kim; Yong Seuk Lee

doi:10.12671/jkfs.2013.26.4.327

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Sim, Lee, Kim, and Lee: Minimally Invasive Percutaneous Plate Stabilization Using a Medial Locking Plate for Proximal Tibial Fractures - Technical Note -

Surgical Technique

Journal of the Korean Fracture Society 2013; 26(4): 327-332.

Published online: 18 October 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.4.327

Minimally Invasive Percutaneous Plate Stabilization Using a Medial Locking Plate for Proximal Tibial Fractures - Technical Note -

Jae Ang Sim, M.D., Ph.D., Beom Koo Lee, M.D., Ph.D., Kwang Hui Kim, M.D., Yong Seuk Lee, M.D., Ph.D.

Department of Orthopedic Surgery, Gachon University School of Medicine, Incheon, Korea.

Address reprint requests to: Beom Koo Lee, M.D., Ph.D. Department of Orthopedic Surgery, Gachon University Gil Hospital, 21 Namdong-daero 744beon-gil, Namdong-gu, Incheon 405-760, Korea. Tel: 82-32-460-3384, Fax: 82-32-468-5437, bklee@gilhospital.com

Received 27 March 2013 Revised 2 July 2013 Accepted 2 September 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Minimally invasive plate osteosynthesis (MIPO) is beneficial for proximal tibial fractures since these injuries are mostly caused by high energy traumas. The advantages of MIPO are minimization of soft tissue dissection and preservation of periosteal vascularization. Lateral plating has mostly developed as MIPO for proximal tibial fractures. We introduce minimal invasive percutaneous plate stabilization using a medial locking plate as alternative treatment for proximal tibial fractures.

Keywords: Tibial fractures, Minimal invasive, Osteosynthesis, Medial plate

Figures and Tables

Fig. 1

Operative procedure.

(A) Drawing of main structures on the skin (arrow: medial collateral ligament, arrow head: the tibial insertion site of hamstring tendon).

(B) Dissecting between the insertion site of the hamstring tendon and that of the medial collateral ligament by Cobb's elevator.

(C) Insertion of a plate through the space between the insertion site of the hamstring tendon and that of the medial collateral ligament.

(D) Suturing.

Fig. 2

Fluoroscopic findings.

(A) Temporary proximal fixation by a K-wire.

(B) Accurate positioning of the plate.

(C) Temporary fixation by a K-wire after positioning.

(D) Evaluation of alignment of the lower extremity.

References

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