Abstract
Introduction: Open reduction and plating of distal tibial fractures require extensive soft tissue dissection and periosteal stripping. Complications like infection, delayed union and non-union are common. Minimally invasive plate Osteosynthesis (MIPO) technique preserves soft tissue envelope, vascularity of fracture fragments and containment of fracture haematoma and provide biologically favourable environment for fracture healing. Materials and methods: 20 patients of distal tibial fractures treated with locking plate by MIPO technique between October 2015 and January 2017 were included in this prospective study. Analysed using software SPSS version 24.0 Results: Mean average time to union is 15.2 weeks. Based on Tenny and Wiss scoring criteria, eighteen patients (90%) had good and excellent results at 22 weeks with fracture union.Conclusion: MIPO technique provides good healing and decreases the incidence of non-union and the need for bone grafting. This technique can be used in distal tibia fractures where nailing cannot be done, such as, fractures with small distal metaphyseal fragments, coronal fractures, Comminuted and intra-articular fractures.
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