Title: A Prospective Study to Evaluate the Results of Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) in Treatment of Distal Tibial Fractures
Authors: Dr Maninder Singh, Dr Iqbal Singh Ghai, Dr Partap Singh, Dr Subeg Singh, Dr Manpreet Singh, Dr Parik Dev
Background and Aim: the treatment of distal tibia fracture is very challenging due to limited soft tissue, subcutaneous location of large portion of tibia and precarious blood supply. The main aim of treatment of distal tibia fracture is to maintain normal alignment and articular surface. Closed reduction and mippo with distal tibia locking plate has emerged as a new treatment option in treatment of distal tibia fracture. This study was to evaluate the results of mippo technique with distal tibia locking plates.
Methods: 30 patients with distal tibia fracture with or without intra articular extension were treated in our department, Govt. Medical College and Hospital, Amritsar with MIPPO with DTLP and were prospectively followed for average duration of 6 months. The outcome was evaluated using American Orthopedic Foot and Ankle Society (AOFAS) score.
Results: There were TOTAL 30 patients in the study including 24 males and 6 females of mean age 38.04 years. The mean follow up period of our patients was 6 months. All fractures united at an average of 18.13 weeks (range 16-24 weeks) except two cases of Acceptablemalunion,1 case of non-union and 1 case of deep infection.
Conclusions: Minimally invasive percutaneous plate osteosynthesis (MIPPO) is an excellent method for treatment of distal tibia fracture. The use of a small incision, indirect reduction technique, time of operation, early healing and decrease incidence of infections have the advantage over the conventional osteosynthesis.
Keywords: Distal tibia fracture, MIPPO, AOFAS.