Online ISSN: 2515-8260

Keywords : Minimally Invasive Percutaneous (MIPPO)

Management of Extra Articular Distal Tibial FractureUsing Minimally Invasive Percutaneous Technique

Hasan Ali Qanaw,Mohsen Mohamed Abdo Mar'éi ,Reda Hussein ElKady , Ahmed Mohammed Abdelwahab

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3057-3069

Background:Distal tibia fractures are challenging injuries. They are often caused by high
energy axial compressive, direct bending or low energy rotation forces. These fractures
constitute less than 10% of all tibial fractures. The aim of treating the fracture is to preserve
normal mechanical axis, ensure joint stability and restore a near full range of motion. This is a
difficult task to accomplish in each and every case due to compromised soft tissue condition,
variable bone quality and associated medical conditions. Distal tibia fractures are devastating
injuries that are usually due to highenergy
mechanisms such as falling from heights or motor
vehicle accidents. They may also occur from lowenergy
mechanisms, which are seen in
rotational injuries around the ankle. Results of conventional osteosynthesis with plates have
been suboptimal with reported complications of wound infection, skin breakdown and delayed
union or nonunion,
requiring secondary surgical intervention. Locking compression plating
has gained popularity and is being used frequently for fixation of distal tibia fractures. With the
use of minimal invasive techniques excellent results are obtained in complex fractures