Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

Recently, minimally invasive surgical (MIS) techniques have become more common in orthopedics and traumatology practice. MIS techniques may also reduce complications in the treatment of tibial plateau fractures (TPFs).
The aim of this study was to compare the radiological and functional outcomes of TPF, treated by MIS techniques and the conventional approach (open reduction and internal fixation).
The patients were divided into two groups, receiving either MIS (group A) or conventional treatment (group B). Each group consisted of 20 patients. The mean age of patients was 46.8 ± 2.85 years in group A and 50.3 ± 2.41 years in group B. Incision-healing complications were classified based on severity. Functional outcomes were evaluated using the Lysholm scale in the first year.
Complete healing without incision-healing complications was reported in all patients from group A, whereas nine incision-healing complications were found in group B (P Widespread use of MIS can be promoted in order to reduce incision-healing complications in TPF. However, further prospective studies with a larger sample size are needed to confirm our results.