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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) for Distal Tibia Fractures: A Comparative Clinical Study

K.C. Mathew, A.J. Sukaash, J. Sugin Glen Baisil, S. Kavin Raja and Gowtham Raj
Page: 683-687 | Received 20 Aug 2024, Published online: 30 Oct 2024

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https://doi.org/10.36478/makrjms.2024.10.683.687

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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.

How to cite this article:

K.C. Mathew, A.J. Sukaash, J. Sugin Glen Baisil, S. Kavin Raja and Gowtham Raj. Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) for Distal Tibia Fractures: A Comparative Clinical Study.
DOI: https://doi.org/10.36478/makrjms.2024.10.683.687
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.10.683.687