Title: Functional Outcome of Distal Tibial Fractures Managed with Distal Tibial Locking Plate Using MIPPO Technique

Authors: Dr Rajan Sharma, Dr Simranjit Singh

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i10.153

Abstract

Tibia is the most commonly fractured bone amongst all long bones of the body due to its position and lack of soft tissue protection. A variety of treatment methods have been suggested for these injuries, including non operative treatment, external fixation, intramedullary nailing and plate fixation. 25 patients with fracture of distal tibia were included in the study, Fractures were reduced by principle of ligamentotaxis and using MIPPO technique and fixed with distal tibial locking plate and functional outcome was analysed with AOFAS ankle and hind foot score. All fractures showed union upto 24 weeks and 20 patients had AOFAS score between 71-100 at 6 months.

Keywords: MIPPO, distal tibia locking plate,distal tibia fractures.

References

  1. Paige W. Fracture of lower extremity: tibia pilon fracture. In: Terry C. James B (eds) Campbell’s operative orthopaedics, eleventh edition, Philadelphia: Mosby Elsevier. 2010; 3118-19
  2. Boris Zelle A, Mohit Bhandari, Michael Espiritu. Treatment of Distal Tibia Fractures without Articular Involvement: A Systematic Review of 1125 Fractures. J Orthop Trauma. 2006; 20:76-79.
  3. Newman SD, Mauffey CP, Krikler S. Distal metaphyseal tibial fractures. Injury. 2011; 42:975- 84.
  4. Richard RD, Kubiak E, Horwirtz DS. Techniques of surgical treatment of distal tibial fractures. Orthop Clin North Am. 2014; 45:295-312.
  5. Bedi A, Le TT, Karunakar MA. Surgical treatment of nonarticular distal tibia fractures. J Am Acad Orthop Surg. 2006; 14:406-16.
  6. Vallier HA, Cureton BA, Patterson BM. Factors influencing functional outcomes after distal tibia shaft fractures. J Orthop Trauma. 2012; 26:178-83. 8

Corresponding Author

Dr Simranjit Singh, M.S. Orthopaedics

Senior Resident, Govt. Medical College, Amritsar

House no. 22, street no. 2, Gopal nagar, Majitha road, Amritsar, Pin 143001, India

Mobile no.:-+919814670083