Injuries to the distal tibia represent a significant source of physical impairment and disease burden, particularly among young adults and old age, predominantly due to the rising occurrences of vehicular accidents and the prevalence of osteoporosis, respectively. The complexity of fractures in this area is exacerbated by the tibia's tenuous vascular supply the inadequate coverage provided by surrounding soft tissues and the minimal margin for alignment error. This study prospectively evaluated 18 patients with distal tibia fractures, treated using Minimally Invasive Percutaneous Plate Osteosynthesis (MiPPO). Their functional and radiological outcomes were assessed at a 6‐month follow‐up. Fractures were categorized as per the AO/OTA classification, and surgical intervention involved the medial placement of an LCP plate using the MiPPO technique. Radiological outcomes were determined using X‐ray imaging, while clinical outcomes were measured with the Kaikkonen Ankle Scoring System. Fracture united in all 18 patients, with average fracture union time being 18 weeks, average ankle dorsiflexion in patients was 20 degrees with 54% excellent, 29% good and 17% fair results in patients. The MiPPO technique for distal tibia fractures is a proficient fixation method that minimizes soft tissue trauma and maintains the body’s natural biological processes.
Abhishek Mehta, Josal Patel and Yash Patel. Outcome of Distal Tibia Fractures Managed with Locking Compression Plate Using MiPPO Technique.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.36.39
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.36.39