Abstract
FUNCTIONAL OUTCOME IN DISTAL TIBIA FRACTURES BY MIPPO TECHNIQUE USING TIBIA LOCKING PLATE

Dr. Allen Tilak J. T.* and Dr. M. R. Rajasekhar

ABSTRACT

Introduction: Distal tibial fractures constitute 1-10% of all lower extremity fractures. Operative treatment is indicated for most of the fractures which 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 preserves 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%), and 2(8.3%) had poor result based on objective result according to scoring system. Conclusion: Extra articular distal tibia fracture can be effectively treated with MIPPO technique using medial distal tibial locking plate.

Keywords: Distal tibia fractures; MIPPO, Distal plate tibia locking.


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