DefinePK

Research Objective

To determine the functional outcome of minimally invasive plating osteosynthesis (MIPO) for distal femur fractures.

Methodology

Descriptive study conducted in the Orthopedic Department of Allied Hospital, Faisalabad, from August 2020 to February 2021. 115 patients (18-50 years) with lower 1/3 femur shaft fractures were included, excluding those with nerve/vascular injury or open fractures. All patients were treated with MIPO. Bone union was assessed by bridging callus formation, absence of implant loosening/breakage/migration, and painless weight-bearing. Functional and clinical outcomes were assessed using the IKDC score at 12 weeks post-procedure.

Methodology Flowchart

                        graph TD;
    A[Patient Selection 115 patients, 18-50 yrs, distal femur fracture] --> B[Exclusion Criteria Check];
    B -- Excluded --> C[End];
    B -- Included --> D[Informed Consent & Ethical Approval];
    D --> E[Pre-operative Assessment Local, Systemic, General Exam, X-rays];
    E --> F[Surgical Procedure MIPO under spinal anesthesia];
    F --> G[Post-operative Care Active movements, exercises];
    G --> H[Follow-up Assessments Monthly X-rays, IKDC score at 12 weeks];
    H --> I[Data Analysis];
    I --> J[Conclusion];                    

Discussion

MIPO is presented as an effective technique for distal femur fractures, preserving fracture hematoma, soft tissue integrity, and blood supply, leading to improved healing. The study highlights the advantages of MIPO over traditional open reduction and internal fixation, particularly in reducing complications. Locking plates are noted to be beneficial in osteoporotic bones.

Key Findings

Excellent functional outcomes were observed in 65 (56.51%) patients, good in 32 (27.83%), fair in 11 (9.57%), and poor in 07 (6.09%). Bone union was achieved in 105 (91.30%) patients.

Conclusion

Minimally invasive plating osteosynthesis (MIPO) is an excellent method for treating distal femoral shaft fractures, offering good functional outcomes with less morbidity and fewer complications.

Fact Check

1. Number of patients: 115 patients were included in the study. (Confirmed in "Material & Methods" and "Results")
2. Excellent functional outcome percentage: 56.51% of patients achieved excellent functional outcomes. (Confirmed in "Results")
3. Bone union achievement: 91.30% of patients achieved bone union. (Confirmed in "Results")

Mind Map