Clinical outcomes of patients undergoing Minimally Invasive Plate Osteosynthesis (MIPO) for distal tibia fractures

Journal of Clinical Orthopaedics | Vol 5 | Issue 2 |  July-Dec 2020 | page: 2-5 | Shikhar D Singh, Sachin Y Kale, Adnan Asif, Jay Parsania, Atul Jain, Prasad Chaudhari

Author: Shikhar D Singh [1], Sachin Y Kale [1], Adnan Asif [2], Jay Parsania [1], Atul Jain [3], Prasad Chaudhari [1]

[1] Department of Orthopedics, DY Patil University School of Medical, Nerul, Navi Mumbai
[2] Department of Orthopedics, Christian Medical College, Vellore
[3] Department of Orthopedics, Deep Chand Bhandu Hospital, New Delhi

Address of Correspondence
Dr. Sachin Y Kale,
Department of Orthopaedics, DY Patil University School of Medical
Sector 7, Nerul, Navi Mumbai – 400706


Introduction: Distal tibial fracture being subcutaneous poses a surgical challenge and can be complicated with delayed union, non-union, wound infection and wound dehiscence. Minimally Invasive Plate Osteosynthesis (MIPO) of distal fractures is indicted for displaced or unstable fractures due to its technical advantages and satisfactory clinical outcomes.
Methodology: We prospectively studied consecutive adult patients with closed distal tibia fracture treated with locking plates with MIPO technique. We included consecutive patients with Gustillo type 1 closed fracture with or without articular extension. Clinical outcome was assessed using Olerud and Molander Score (OAMS). Radiographic assessment was done to assess for radiological union.
Results: Among the 30 patients, right side was involved in 53% of the patients and the most common type of fracture was 43.A1 type (47%). OAMS done post-operatively found that 67% had excellent outcome, 27% had good outcome, 6% and fair and none of the patients had poor clinical outcome. Radiological union was achieved in 12 weeks in 20%, 12 to 16 weeks in 23%, 16 to 20 weeks in 50% and 20 to 24 weeks and 24 to 28 weeks in one patient each. Superficial wound infections was observed in five patients, ankle stiffness in four patients and delayed union in two patients.
Conclusions: Results of our study show that locking compression plate using MIPO technique does not compromise the periosteal blood supply and does not rely on the compression between the plate and the bone. Thus MIPO is an effective treatment for tibial diaphysis and distal tibia fractures.
Keywords: Distal tibial fractures, locking plate, Minimally invasive percutaneous plate osteosynthesis


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How to Cite this article: Singh SD, Kale SY, Asif A,Parsania J, Jain A, Chaudhari P. Clinical outcomes of patients undergoing Minimally Invasive Plate Osteosynthesis (MIPO) for distal tibia fractures. Journal of Clinical Orthopaedics July-Dec 2020;5(2):2-5.

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