7 A STUDY OF DISTAL TIBIA FRACTURES TREATED WITH DISTAL TIBIA PLATE WITH OPEN REDUCTION AND MIPPO TECHNIQUE
Journal Title: Indian journal of applied basic medical sciences - Year 2016, Vol 18, Issue 27
Abstract
Background: 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. Materials and methods:All the patients were evaluated clinically with AOFAS Score and radiologically at 4 weekly intervals for up to 6 months. Results: 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. Conclusion: 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.
Authors and Affiliations
Dr Gaurav M Meda, Dr Kaustubh M Chauhan
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