Functional outcome of distal tibia fracture fixation with locking compression plate (LCP) using MIPO technique in a tertiary care hospital in eastern India

Abstract

Background: The precarious blood supply and the scarcity of soft tissue envelope and the proximity to ankle joint makes the treatment of distal tibia fractures challenging. Over the years multiple modalities ranging from conservative measures to surgical interventions have been marred by an array of complications. Minimally Invasive Plate Osteosynthesis minimises soft tissue compromise while maintaining vascular integrity of the fractured fragments and the preserves the osteogenic haematoma. While using locking compression plate allows uncomplicated fracture healing and early return to function by providing a rigid biomechanical construct. Methods: A total of 32 patients with distal tibial fractures treated by MIPO technique with LCP fixation were studied from August 2017 to May 2019 and were followed up at regular intervals for a period of 36 weeks. Result: All fractures united within a range of 14-24 weeks and the mean time of radiological union/ weight bearing was 16.72 weeks. Superficial skin infection was observed in two patients (5.5%) which settled down well with antibiotics and antiseptic dressing. Conclusion: MIPO technique using LCP offers an attractive option for the management of closed fractures of the distal tibia while preserving the blood supply of soft tissue and bone as compared to the other treatment options. This study recommends its usage in such complex injuries.