Efficacy of Ultrasonography for MIPO in Distal Tibia Fractures

Category: Ankle; Trauma Introduction/Purpose: Restoration of normal anatomic alignment is most important aspect of the minimally invasive plate osteosynthesis (MIPO) for tibia fracture. The purpose of this study was to verify the usefulness of ultrasonography of MIPO in tibia fractures. Methods: Of...

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Main Authors: Gi-Soo Lee MD, Jaehwang Song MD, Chan Kang MD
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Foot & Ankle Orthopaedics
Online Access:https://doi.org/10.1177/2473011420S00317
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author Gi-Soo Lee MD
Jaehwang Song MD
Chan Kang MD
author_facet Gi-Soo Lee MD
Jaehwang Song MD
Chan Kang MD
author_sort Gi-Soo Lee MD
collection DOAJ
description Category: Ankle; Trauma Introduction/Purpose: Restoration of normal anatomic alignment is most important aspect of the minimally invasive plate osteosynthesis (MIPO) for tibia fracture. The purpose of this study was to verify the usefulness of ultrasonography of MIPO in tibia fractures. Methods: Of the tibia fracture patients were admitted to the emergency department patients who plan to MIPO surgery were enrolled. We measured maximum angular formation in posteromedial and anterior edge of tibia using ultrasonography (US). And then, we measured maximum angular formation using mobile C-arm images after closed reduction in operating room. The accuracy was measured and compared using 3-dimensional computed tomography (3D-CT). Results: There was no significant difference in accuracy between C-arm and US. However, the use of C-arm during surgery was reduced by using US. By using US, we could determine that the reduction is adequate without the lateral and oblique C-arm images. Conclusion: The use of US is useful in reduction for tibia fracture. It seems that US is effective for confirmation of reduction state and considered safe and non-invasive because it can reduce the radiation exposure by using C-arm.
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spelling doaj.art-110c3b23f5f1425f9a072ae2199b5c082022-12-21T23:08:24ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142020-10-01510.1177/2473011420S00317Efficacy of Ultrasonography for MIPO in Distal Tibia FracturesGi-Soo Lee MDJaehwang Song MDChan Kang MDCategory: Ankle; Trauma Introduction/Purpose: Restoration of normal anatomic alignment is most important aspect of the minimally invasive plate osteosynthesis (MIPO) for tibia fracture. The purpose of this study was to verify the usefulness of ultrasonography of MIPO in tibia fractures. Methods: Of the tibia fracture patients were admitted to the emergency department patients who plan to MIPO surgery were enrolled. We measured maximum angular formation in posteromedial and anterior edge of tibia using ultrasonography (US). And then, we measured maximum angular formation using mobile C-arm images after closed reduction in operating room. The accuracy was measured and compared using 3-dimensional computed tomography (3D-CT). Results: There was no significant difference in accuracy between C-arm and US. However, the use of C-arm during surgery was reduced by using US. By using US, we could determine that the reduction is adequate without the lateral and oblique C-arm images. Conclusion: The use of US is useful in reduction for tibia fracture. It seems that US is effective for confirmation of reduction state and considered safe and non-invasive because it can reduce the radiation exposure by using C-arm.https://doi.org/10.1177/2473011420S00317
spellingShingle Gi-Soo Lee MD
Jaehwang Song MD
Chan Kang MD
Efficacy of Ultrasonography for MIPO in Distal Tibia Fractures
Foot & Ankle Orthopaedics
title Efficacy of Ultrasonography for MIPO in Distal Tibia Fractures
title_full Efficacy of Ultrasonography for MIPO in Distal Tibia Fractures
title_fullStr Efficacy of Ultrasonography for MIPO in Distal Tibia Fractures
title_full_unstemmed Efficacy of Ultrasonography for MIPO in Distal Tibia Fractures
title_short Efficacy of Ultrasonography for MIPO in Distal Tibia Fractures
title_sort efficacy of ultrasonography for mipo in distal tibia fractures
url https://doi.org/10.1177/2473011420S00317
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