@article{MAKHILLRJMS2024181031752,
    title = {Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) for Distal Tibia Fractures: A Comparative Clinical Study},
    journal = {Research Journal of Medical Sciences},
    volume = {18},
    number = {10},
    pages = {683-687},
    year = {2024},
    issn = {1815-9346},
    doi = {makrjms.2024.10.683.687},
    url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2024.10.683.687},
    author = {J. Sugin,K.C.,A.J.,S. and},
    keywords = {Approximately, complex fracture patterns, predisposes},
    abstract = {Distal tibial fractures, representing approximately 10‐13% of all tibial
fractures, present significant challenges due to their subcutaneous
location, limited soft tissue coverage and proximity to the ankle joint.
These fractures often result from high‐energy mechanisms such as motor
vehicle accidents, falls from height, or sports‐related injuries, leading to
complex fracture patterns and associated soft tissue injuries. The
management of distal tibial fractures is further complicated by the
region's poor vascularity, which predisposes patients to complications like
delayed union, nonunion and infections. The study was carried out at a
tertiary medical college from July 2023 to September 2024. 23 patients
were included in this study. Adult patients presenting with fractures of
the distal third of the tibia were included in the study. Inclusion criteria
were patients aged 18 years and older with closed or Grade I open
fractures based on the Gustilo‐Anderson classification. Patients with
severe soft tissue compromise (Grade II and III open fractures),
pathological fractures, polytrauma, or pre‐existing conditions affecting
bone healing (such as uncontrolled diabetes mellitus or osteoporosis)
were excluded from the study. A total of 23 patients with distal tibial
fractures were included in the study. The mean follow‐up period was 12
months (range 6‐20 months). The mean age group is 38 years with male
to female ratio of 17:6 The primary outcomes assessed were fracture
healing time, functional recovery, postoperative complications, and
alignment accuracy. The results demonstrate that most patients achieved
union within 16 weeks. The high AOFAS scores suggest satisfactory
functional outcomes with minimal residual pain, as reflected in the VAS
scores. MIPPO is an effective technique for managing distal tibia
fractures, particularly in extra‐articular or metaphyseal fractures where
intramedullary nailing may not provide sufficient stability. This technique
minimizes soft tissue disruption, preserves periosteal blood supply, and
facilitates early mobilization, leading to favourable outcomes. Compared
to ORIF, MIPPO offers similar union rates and functional recovery while
reducing surgical trauma.}
    }