Outcome of minimally invasive plate osteosynthesis using locking compression plate in long bone fractures.

ABSTRACT

OBJECTIVE: To evaluate radiological and clinical outcome of minimally invasive plate osteosynthesis (MIPO) using locking compression plate in long bone fractures. METHODS: This was a prospective study for the long bones fracture managed by MIPO using locking compression plate in thirty patients from January to December 2017. All the skeletally mature patients and the patients with osteoporotic bones were included. Patients with open injuries, paediatric patients and plating done in non-traumatic conditions were excluded. Patients were followed as outpatient after one week, six weeks, after three months and then after 6 months. RESULTS: Among 30 patients, 12(40%) were males and 18 (60%) females with male to female ratio 11.5. Average age of 30 patients was 59.5 ± 16.72 years (Range =21 to 91 years). Mean duration of surgery was 98.0±27.1 (Range=50 to 150) minutes. Majority 14(46.7%) had operative time 90-110 minutes. There were two complications, one (3.3%) had screw pull out and other had deep infection. CONCLUSIONS: LCP system is a reliable and safe tool that extends the options for fixation by plating and has advantages over the other systems in term of stability that can be achieved with it especially in osteopenic bones.