Outcome of treatment Tibial Fracture by Minimally Invasive Playe Osteosynthesis (MIPO) in Krabi Hospital


  • อนุชา กาพย์เกิด Suratthani Hospital


minimal invasive, bone plate, ostesynthesis, fractures of tibia


              Although intramedullary nailing has standardized the management of Tibial Fracture,but Minimally Invasive Plate Osteosynthesis (MIPO) is an altemative treatment in patient who intramedullary nailing is contraindicated. This retrospective study objected to review the outcome of MIPO technique at Krabi Hospital in 20 patients during 1 January 2011-30 September 2014. All patient are aged during years (average 30 years) . Most common causes of fractures is from traffic accidents (85%) Time operation is average 23.25 min. The results of treatment were healed without complication (100%) The average time for full weight bearing was 10.5 weeks (range 8-12 weeks). The average time for stable three of four cortices bridging callus (complete healing) was14.5 weeks (range12-16 weeks). There was no plate failure,no wound healing complications or infections. MIPO is reproducible and effective for the treatment of Tibial fractures when intramedullary nailing is contraindicated


1. S. Terry Canale,Campbellsoperativeorthopeadi cs.9 thed.St.louis,Missouri:Mosby-Year Book;1996 p.2068

2. Chandler Robert W. Principles of internal fixation. Rockwood and greene’s fracture in adult,4th edition.1996:;1:159-217

3. He X, Zhang J, Li M, Yu Y, Zhu L.Surgical Treatment of Extra-articular or Simple Intraarticular Distal Tibial Fractures: MIPO Versus Supercutaneous Plating.Orthopedics. 2014 Sep 1;37(10): e925-31. doi: 10.3928/01477447- 20140924-61

4. Jha AK, Bhattacharyya A, Kumar S, Ghosh TK.Evaluation of results of minimally invasive plate osteosynthesis (MIPO) of distal tibial fractures in adults. Clin Orthop Surg. 2012 Dec;4(4):313-20. doi: 10.4055/cios.2012.4.4.313. Epub 2012 Nov 16.

5. Kim JW, Oh CW, Jung WJ, Kim JS.Minimally invasive plate osteosynthesis for open fractures of the proximal tibia. Vet Clin North Am Small Anim Pract.
2012 Sep;42(5):1023-44, vii. doi: 10.1016/j. cvsm.2012.08.001.

6. Ruedi T,Webb JK,Allgow M.Experience with the dynamic compression plate (DCP)in 418 recent fracture of the tibial shaft.Injury 1976;7:252-7

7. ภูมิศิลป์ เก่งกาจ.ผลการรักษากระดูกหน้าแข้งหัก หลายชิ้น ด้วยวิธีการผ่าตัดดามด้วยแผ่นโลหะที่ทำให้เกิดอันตรายต่อเนื้อเยื่อน้อยที่สุด โรงพยาบาลล?ำพูน.
วารสารสาธารณสุขล้านนา.ปีที่ 5 ฉบับที่ 2 พ.ค.-ส.ค.2552 : หน้า 196-201

8. ธีรชัย อภิวรรธกกุล. Minimally invasive plate osteosynthesis (MIPO) . กรุงเทพมหานคร:พี.บี. ฟอเรนบ๊คสเซ็นเตอร์;2551.หน้า 317-329




How to Cite

กาพย์เกิด อ. (2015). Outcome of treatment Tibial Fracture by Minimally Invasive Playe Osteosynthesis (MIPO) in Krabi Hospital. Region 11 Medical Journal, 29(1), 111–118. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/180545



Original articles