Abstract
Background: Fractures are the commonest injury among the victims of non-fatal road traffic accidents, and it commonly involves the bones of the lower extremity. This can be due to the interplay of gravitational force and velocity of the vehicle at the time of accidents. Tibial fractures are the most common type of long bone fractures and are the most common open fractures. Based on the fracture location in the bone, distal tibia fractures have the second highest incidence of all tibia fractures. The relatively tenuous blood supply, subcutaneous location of the tibia, mechanism of injury, and use of certain treatment methods contribute to a relatively high incidence of post traumatic complications following tibia fractures. These complex open fractures which are produced by high energy forces, threaten to pose a challenge to orthopaedic surgeons. Considerable advances in the methods and concepts of internal fixation along with newer innovations in implants help to meet such challenging tasks.Aim: To evaluate the efficacy, functional and radiological outcome of distal third tibia fractures managed by minimally invasive plate osteosynthesis.Methods: This is a prospective study, period from December 2019 to May 2021, and a minimum of 30 cases with fractures of distal tibia were attended in the casualty and OPD and were admitted in this hospital and were evaluated clinically and radio graphically.Results: All fractures healed without the need of any secondary procedures. There was no noticeable mal- alignment or non-union. Functional outcome was good to excellent in all patients. Average time to bony union was 24 weeks.Conclusions: From our study it is further proved that the effectiveness of minimally invasive plate osteosynthesis is a good and safe technique for treatment of distal tibial fractures without intra- articular comminution providing fracture healing, rapid functional recovery, along with avoidance of major complications.
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