BACKGROUND: Distal tibia fracture is a therapeutic challenge in modern orthopedics. Due to fracture pattern, periarticular location, minimal soft tissue coverage, the surgical treatment is complex one. Various modality of surgical treatment such as closed intramedullary nailing, Open Reduction Internal Fixation with conventional plate osteosynthesis and external fixation has been tried so far. But none of them have good functional outcome but high complication rate (20-50%). So the present study was undertaken to assess the functional Outcome of Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) Using Medial Distal Tibia Anatomical Locking Compression Plates for Distal Tibial Fractures.
AIM: To Study the Functional Outcome of Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) Using Medial Distal Tibia Anatomical Locking Compression Plates for Distal Tibial Fractures.
MATERIALS AND METHODS: Prospective analyze of the outcome of minimally invasive percutaneous plate osteosynthesis (MIPPO) using medial distal tibia anatomical locking plate for distal tibia fractures & the functional outcome in these patients was done at the Department of Orthopedics, Vinayaka Missions Kirupananda Variyar medical College and Hospital Salem. Patients of age group between 20-80 years with distal tibia fractures involving the lower one third of tibial Metaphysis and metaphyseo-diaphyseal junction AO/OTA classification type A, B, C distal tibia fractures, Ruedi allgower type II&III pilon fractures, simple fractures were included in the study.
RESULTS: Superficial wound infection (13%) occurred in 2 patients. It resolved after regular wound care and antibiotics. Deep wound infection occurred in 3 patients (20%), among them, implant removal and thorough wound debridement was done in two patients after fracture union, fracture was not united in one patient, he was put on temporary external fixation, two patients required local flap cover (13%). Implant removal was done in five patients (4 due to infection, one after fracture healing) (33%). One patient (6%) had plate bending due to premature weight bearing. One patient lost the follow up due to unknown reason. Two patients had malunion (13%). Three patients had angular deformity. One patient had limb length discrepancy. No patient had a postoperative neuro vascular complication.
CONCLUSION: The correct surgical technique (such as positioning the plate at correct offset after appropriate fracture reduction, which is confirmed by a final C-ARM check), and correct timing of surgery (which is evidenced by wrinkle sign), the anatomically precontoured medial distal tibia locking plate is suitable option for internal fixation of distal tibia fractures which may favors a better functional outcome and faster fracture healing.
KEY WORDS: MIPPO, distal tibia, fracture, wound infection, locking plates.
How to cite this article: Senthilrajan, Reddy A, Harisivanandan, A Prospective Study On Outcome Of Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) Using Medial Distal Tibia Anatomical Locking Compression Plates For Distal Tibia Fractures. Int J Drug Deliv Technol. 2026;16(4s): 191-196; DOI: 10.25258/ijddt.16.191-196