Relatively few studies have addressed surgical strategy for complex proximal @entity174 by now. The purpose of this study was to assess the results of a single lateral locking plate using minimally invasive plate osteosynthesis (MIPO) for @entity174 (AO/OTA type 41-C) with diaphyseal involvement. From @entity1178 2009 to @entity1178 2014, 20 @entity1 (fifteen @entity1 and five @entity1 , mean age 35.8 years) were managed for proximal @entity174 which extend into the diaphyseal region of the bone, including three 41-C1, eleven 41-C2, and six 41-C3. Twelve @entity1 were @entity4422 . A single lateral locking plate characterized by percutaneous technology was used with or without additional lag screws. Mobilization was started immediately after the procedure, and non-weight-bearing was maintained for at least 6 weeks, then progressively weight bearing depends on both clinical and x-ray findings. Primary union was achieved by 16 of the 20 study subjects. Early bone grafting was performed in 4 cases with a massive @entity79 and staged bone grafting was used in one to treat nonunion. The mean articular step off was 1.0 mm (range, 0-3 mm). No @entity1 had misalignment greater than 10  . Acceptable range of knee motion of >= 120   was achieved in sixteen, and the mean knee Hass score was 87.4 at final follow-up visits. The complications included superficial @entity281 in one @entity1 . In conclusion, the surgical strategy can provide favorable results in the treatment of proximal @entity174 (AO/OTA type 41-C) with diaphyseal involvement.

A useful surgical strategy for proximal XXXX (AO/OTA type 41-C) with diaphyseal involvement.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity174 :: ('MESH:D050723', 'Disease') :: ['proximal tibia fractures', 'tibial fractures'] @entity4422 :: ('MESH:D005597', 'Disease') :: ['open fractures'] @entity79 :: ('MESH:D001847', 'Disease') :: ['initial bone defect'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1178 :: ('3725', 'Gene') :: ['Jun']
@entity174 :: (MESH:D050723,Disease) :: ['tibial fractures']
