A prospective study of distal 1/3rd tibia fracture treated using locking compression plate by minimally invasive percutaneous plate osteosynthesis technique

P. S. Vikranth, N. Vamshi Varenya


Background: Distal tibia fractures are common and represent 6-8% of all lower limb fractures treated by an orthopaedic surgeon. Anatomical reduction with good fracture stability and minimal soft tissue dissection give good functional results. Locking compression plate combined with minimally invasive percutaneous plate osteosynthesis (MIPPO) technique has yielded good results. In this prospective study, authors studied 30 patients treated with LCP using MIPPO technique to know the functional outcome.

Methods: A total 30 patients were studied in this technique, which include both male and females of different age groups treated with LCP using MIPPO technique. All the patients were followed up for 12 months between March 2018 to March 2019 in orthopaedic department. The functional and radiological outcomes were assessed.

Results: A total 30 patients both male and females were studied with age groups between 18 to 65 years. Average follow-up was 12 months using Olerud and Molander scoring system authors had excellent results in 16 patients (54%), good in 9 patients (30%), fair in 4 patients (12%) and poor outcome in 1 patient (4%).

Conclusions: Surgery with locking compression plate along active physiotherapy proved to be better for distal tibia fractures.


Distal tibia fracture, Locking compression plate, Minimally invasive percutaneous plate osteosynthesis technique, Olerud and molander scoring system, Range of motion

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