Patient outcomes following minimally invasive plate osteosynthesis for fractures of the distal tibia

Somnath Baskey; Manmatha Nayak; Jugaratna Khatua; Gopabandhu Patra

doi:10.18203/issn.2455-4510.IntJResOrthop20251419

Authors

Somnath Baskey Department of Orthopaedics, SCB Medical College and Hospital, Cuttack, Odisha, India
Manmatha Nayak Department of Orthopaedics, SCB Medical College and Hospital, Cuttack, Odisha, India
Jugaratna Khatua Department of Orthopaedics, SCB Medical College and Hospital, Cuttack, Odisha, India
Gopabandhu Patra Department of Orthopaedics, SCB Medical College and Hospital, Cuttack, Odisha, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251419

Keywords:

Fracture healing, MIPO, Functional outcomes, Minimally invasive plate osteosynthesis, Distal tibia fractures

Abstract

Background: Minimally invasive plate osteosynthesis (MIPO) has become the go-to method for treating fractures of distal tibia because of its several benefits over open procedures. Assessing the radiological and clinical results of participants undergoing MIPO to treat fractures of distal tibia was the main goal of this study.

Methods: The study was prospective-observational. It was conducted at Srirama Chandra Bhanja (S.C.B.) medical college and hospital, Cuttack, India for one year, i.e., from February 2024 to January 2025. This study included fifty-two individuals who had received MIPO for fractures of the distal tibia.

Results: Among all the 52 patients who participated in the study, 33 (63.4%) were men and 19 (36.5%) were women. A mean age of 52.3±6.5 years was found. Most of the patients, i.e., 38 (73.1%) of patients took 20-24 weeks. Six (11.5%) of patients took >24 weeks. And, lastly, 08 (15.4%) of patients took <20 weeks.

Conclusions: According to the study's findings, MIPO for distal tibia fractures produces good radiological and clinical outcomes, with the majority of patients having a strong functional recovery and union within 24 weeks.

Metrics

Metrics Loading ...

References

Court-Brown CM, Heckman JD, McQueen MM, Ricci WM, Tornetta P. Rockwood and Green's Fractures in Adults. 8th ed. Philadelphia: Lippincott Williams and Wilkins. 2015.

Ruedi TP, Murphy WM. AO Principles of Fracture Management. 2nd ed. Stuttgart: Thieme. 2007.

Kim PH, Leopold SS. Minimally invasive plate osteosynthesis: does percutaneous plating disrupt less soft tissue? J Bone Joint Surg Am. 2012;94(13):1181-6.

Kho DH, Cho BK, Choi SM. Midterm outcomes of unstable ankle fractures in young patients treated by closed reduction and fixation with an intramedullary fibular nail vs open reduction internal fixation using a lateral locking plate. Foot Ankle Int. 2021;42(11):1469-81. DOI: https://doi.org/10.1177/10711007211017470

Hasenboehler E, Rikli D, Babst R. Minimally invasive treatment of distal tibia fractures with the locking compression plate. Orthop Clin North Am. 2007;38(3):293-301. DOI: https://doi.org/10.1016/j.injury.2006.10.024

Egol KA, Weisz R, Hiebert R, Tejwani NC, Koval KJ, Sanders RW. High complication rates with anteriorly mounted plates in a retrospective review of 31 distal tibia fractures. J Orthop Trauma. 2006;20(7):475-82. DOI: https://doi.org/10.1097/01.bot.0000199118.61229.70

Nork SE, Schwartz AK, Agel J, Holt SK, Schrick JL, Winquist RA. Intramedullary nailing of distal metaphyseal tibial fractures. J Bone Joint Surg Am. 2005;87(5):1213-21. DOI: https://doi.org/10.2106/00004623-200506000-00005

Singh S, Bansal KK, Dahuja A, Garg RS, Singh Y, Kumar DR. Minimal invasive plate osteosynthesis (MIPPO) in treatment of distal tibial fractures: A prospective study of 50 cases. Natl J Clin Orthop. 2021;5(3):307. DOI: https://doi.org/10.33545/orthor.2021.v5.i3c.307

Vicenti G, Bizzoca D, Nappi V, Carrozzo M, Delmedico M, Solarino G, et al. The impact of lag screw in the healing time of distal tibia fractures treated with minimally invasive plate osteosynthesis: A randomized clinical trial. Injury. 2020;51(3):S80-5. DOI: https://doi.org/10.1016/j.injury.2020.02.042

Khan MZ, Khalid M, Awan MM, Yasin, Safdar M, Akram A. Comparison of Intramedullary Interlocking Nailing (IMLNG) and Minimally Invasive Plate Osteosynthesis (MIPO) in Treating Extra Articular Distal Tibial Fractures. Pak J Med Health Sci. 2022;16(07):933. DOI: https://doi.org/10.53350/pjmhs22167933

He X, Hu C, Zhou K, Zhai Q, Wen W, Pan F. Clinical and radiological outcome of Gustilo type III open distal tibial and tibial shaft fractures after staged treatment with posterolateral minimally invasive plate osteosynthesis (MIPO) technique. Arch Orthop Trauma Surg. 2018;138(8):1097-102. DOI: https://doi.org/10.1007/s00402-018-2950-9