Background: Distal tibia fractures are often amongst the most difficult fractures to treat because of the hour glass shape of the distal tibia poses a difficulty to achieve fixation with intramedullary nails. Surgical management of the distal tibia can be challenging to treat because of the limited soft tissue, the subcutaneous location, and poor vascularity. Minimally invasive percutaneous plate osteosynthesis (MIPPO) with locking-plates are a newer form of treatment. Objectives: To prospectively study the functional and radiological outcome of distal tibia fractures managed by CRIF by MIPO with medial LCP. Materials and Methods: Patients with fractures of distal tibia extra articular metaphyseal tibial fractures managed with CRIF by MIPO with medial LCP were followed up prospectively till fracture union. Their functional and radiological outcome was assessed by using IOWA knee and ankle scoring index. Conclusion: All fractures united well. Two infections were seen. Distal tibia fractures can be managed well with CRIF by MIPO with medial LCP. No patients developed a coronal plane deformity, one diabetic patient needed implant removal after fracture union due to non healing ulcer. But all patients had good functional outcome.

Background: Distal tibia extra articular metaphyseal tibial fractures are difficult to manage because of the hour glass shape of the distal tibia poses a difficulty to achieve fixation with intramedullary nails. For the past decade, nailing and plating for fracture reduction has been successful in treating fractures of lower extremity especially distal tibia. Objectives: To prospectively study the functional and radiological outcome of distal tibia fractures managed by CRIF with IM tip locking nails. Materials and Methods: Patients with fractures of distal tibia extra articular metaphyseal tibial fractures managed with CRIF with IMIL tip locking nails were followed up prospectively till fracture union. Their functional and radiological outcome was assessed by using IOWA knee and ankle scoring index. Conclusion:All fractures united well. No infections were seen. Distal tibia fractures can be managed well with CRIF with IM tip locking tibial nails. 6 patients developed a coronal plane deformity of <5 degrees but all patients had good functional outcome.