Evaluation of the functional outcome in distal tibia fractures managed by MIPPO technique using distal tibia locking plate

Abstract

Introduction: Distal tibial fractures represent a significant challenge to most of the surgeons even today. They constitute 1-10% of all lower extremity fractures. Operative treatment is indicated for most tibial fractures caused by high energy trauma. Operative treatment allows early motion, and avoids shortening and other complications associated with prolonged immobilization. Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a technique which aims to reduce iatrogenic soft tissue injury and damage to bone vascularity, as well as preserving the osteogenic fracture hematoma. Material and Methods: In the present study, twenty four patients with extra articular tibia were operated with MIPPO with distal tibia medial locking plate over period of two years and the results were analyzed.Results: At the end of the our study of 24 patients treated 14(58.3%) patients had excellent outcome, 5(20.8%) had good results, 4(16.7%) had fair outcome and 1(4.1%) had a poor result based on subjective result and 16(66.7) patients had excellent, 4(16.7%), 2 had fair(8.3%) and 2(8.3%) had poor result based on objective result according to scoring system designed by Ovadia and Beals. Conclusion: Extra articular distal tibia fracture can be effectively treated with MIPO technique using medial distal tibial locking plate.