Minimally invasive percutaneous plate osteosynthesis (MIPPO) in distal tibia fractures-retrospective functional and radiological outcome analysis among rural population

Abstract

Background: Distal tibia fractures are one of the common fractures and results from indirect coronal or direct axial compression forces. These fractures encompass many and varied fracture configurations that involve medial, lateral, or both sides with many degrees of articular depressions and displacements. Each fracture type has its own characteristic morphology and response to the treatment. Need for Study: Despite many advances in the care of these fractures, distal tibia fractures continue to be a difficult surgical problem. A survey of literatures indicates that many authors report nearly 50% satisfactory results with either closed or operative methods of treatment. In view of these considerations present study was taken up. Aim of Study: The aim of our study was to retrospectively analyze the result of distal tibia fractures managed with LCP plating, the effect on ankle joint function, fracture union, operative difficulties encountered and the incidence of complications in the study population. Materials & Methods: This study is a retrospective study of 30 cases who were admitted and operated in the dept. of orthopedics attached to R. L. Jalappa hospital between January 2011-December 2015. Inclusion criteria is skeletally mature patients with closed and Gustilo /Anderson open grade I, II, IIIA distal tibia fractures. Exclusion criteria is patients with grade IIIB and IIIC of Gustilo Anderson fractures, patients with other ipsilateral limb fractures, pelvic fractures, Neurovascular injury. Follow-up is based clinically and using American Orthopaedic Foot and Ankle Score (AOFAS).Results: Results were analyzed with reference to anatomical reduction achieved, radiological union and ankle functional range of movements. Statistical analysis will be carried out using SPSS version 20(IBM, Chicago, USA).