Research Journal of Medical Sciences

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Comparing Surgical Outcomes: Intramedullary Nailing Versus Minimally Invasive Percutaneous Plate Osteosynthesis for Distal Tibia Fractures

P.H. Kushal Raghavendra, P.V. Bhanuprakash Reddy and Hitesh S. Byatroy
Page: 681-685 | Received 20 Nov 2024, Published online: 14 Jan 2025

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Abstract

Distal tibia fractures, especially the ones extending into the metaphyseal region, present significant challenges because of their proximity to the ankle joint and poor soft tissue cover. The two common surgical strategies used here are intramedullary nailing (IMN) and minimally invasive percutaneous plate osteosynthesis (MIPPO). Each of them has its unique advantages and disadvantages and different biological principles. In this study, we have done a comparative analysis of the surgical outcomes of these two techniques. We found that both methods have high union rates, but IMN has advantages with low soft tissue complications and earlier weight bearing. MIPPO gives better rotational stability and achieves anatomical reduction, but with a higher risk of wound‐related complications. We believe that the choice between the two treatment options must be selected based on the fracture morphology, soft tissue status and surgeon’s preference.

How to cite this article:

P.H. Kushal Raghavendra, P.V. Bhanuprakash Reddy and Hitesh S. Byatroy. Comparing Surgical Outcomes: Intramedullary Nailing Versus Minimally Invasive Percutaneous Plate Osteosynthesis for Distal Tibia Fractures.
DOI: https://doi.org/10.36478/makrjms.2025.1.681.685
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.1.681.685