1Assistant Professor, Department of orthopaedics, S.S.G. hosptal and medical college, Baroda
2Assistant Professor, Department of orthopaedics, S.S.G. hosptal and medical college, Baroda
Online published on 17 February, 2017.
Fractures of the distal tibia can be challenging to treat because of the limited soft tissue, the subcutaneous location, and poor vascularity. There is a considerable debate regarding the best method for treating distal tibial fractures. In present study we have treated various distal tibial fractures with distal tibia plate either by open reduction and internal fixation or using MIPPO technique.
All the patients were evaluated clinically with AOFAS Score and radiologically at 4 weekly intervals for up to 6 months.
Mean time to union was 17.5 weeks. All fractures united with acceptable alignment and angulation. Two cases of superficial infection were noted, with two cases of joint stiffness. Mean AOFAS score was 90 at a 6 months follow-up. We report satisfactory outcomes with the use of the distal tibia locking plate in treatment of distal tibial fractures. There were only 4 cases with fair reults and none of the case had poor result.
At the end of our study we conclude that proximal tibia plate with either open or MIPPO technique is treatment of choice for various distal tibia fractures.
pilon freacture, MIPPO-minimally invasive percutaneous plate osteosynthesis, distal locking tibia plate, American Orthopaedic Foot and Ankle Score (AOFAS)
