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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Functional Outcomes in Patients After Minimally Invasive Percutaneous Plate Osteosynthesis with Locking Compression Plate for Distal Tibia Fracture

T. Bharath, P. Revanth, Sravya Teja Paleti and D. Harikishan
Page: 717-721 | Received 10 Sep 2024, Published online: 31 Dec 2024

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https://doi.org/10.36478/makrjms.2024.12.717.721

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Abstract

Distal tibial fractures are often caused by high‐energy axial compression and rotational forces. Operative treatment is typically required for these fractures, with Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) using Locking Compression Plates (LCP) emerging as a promising alternative. This technique respects the biology of the distal tibia and fracture hematoma, offering a biomechanically stable construct. To assess the functional outcomes and time to union in patients undergoing MIPPO with LCP for distal tibial fractures. This prospective study included 50 patients with distal third tibial fractures, classified according to the AO/OTA system, treated with MIPPO and LCP at our institution between 2023 and 2024. Patients were followed up for a mean duration of 6 months. Functional outcomes were assessed using the Olerud and Molander scoring system. All 50 fractures united with an average time to union of 18 weeks. 4 patients developed ankle stiffness and 4 others experienced superficial infections, which were successfully treated with oral antibiotics. No fixation failures were observed. MIPPO with LCP is an effective treatment for distal third tibial fractures in adults, especially when intramedullary nailing is not suitable. This technique offers lower complication rates compared to open reduction and plating, making it a preferred choice for managing these fractures.

How to cite this article:

T. Bharath, P. Revanth, Sravya Teja Paleti and D. Harikishan. Functional Outcomes in Patients After Minimally Invasive Percutaneous Plate Osteosynthesis with Locking Compression Plate for Distal Tibia Fracture.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.717.721
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.717.721