Distal tibial fractures treated by minimally invasive percutaneous plate osteosynthesis

Abstract

Objective: To analyse the functional and radiological outcomes of treating distal tibia fractures with minimally invasive percutaneous plate osteosynthesis.Methods: A prospective study was performed on Thirty adult patients who underwent locking compression plate using MIPPO technique for closed fracture of distal tibial in the Department of Orthopaedics from May 2017 to April 2018 and were followed for one year. The functional outcome was measured using AOFAS (American Orthopaedic Foot and Ankle Society score) and was then graded as excellent/ good/ fair and poor. Radiological outcomes assessed to look for cortical union by taking anteroposterior and lateral view x-ray of affected limb.Results: Majority of the patient were male (60%) belonging to the age group of 36 to 40 years (26%). AOFAS score depicts excellent result in the majority of the patients (70%). Duration of cortical union is less than 16 weeks in almost 50% of patients. Complication resulted in 22% of patients.Conclusion: minimally invasive percutaneous plate osteosynthesis technique for the treatment of distal tibia fracture provides good healing and excellent functional results in most of the patients with few complications.

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