Functional outcome of distal tibia fracture treated with locking compression plate using minimally invasive percutaneous plate osteosynthesis technique (MIPPO): A prospective study

Abstract

Introduction: Treating distal tibia fracture is a greater challenge for surgeons to manage even today. The difficulty is due to its poor blood supply and limited soft tissue envelope. Various techniques are now available for the treatment of tibia fractures. The occurrence of implant failure, skin necrosis, infection and malunion are high in case of distal tibia fractures. Aims/Objective: Our aimed was to analyze the functional outcome of distal tibia fractures treated by MIPPO Technique using the American Orthopedic Foot and Ankle Society Score. Method: A total of 20 patients of a closed distal Tibia fracture were studied by us with a MIPO with LCP Technique in Department of Orthopedics at DYP Medical College and hospital Kolhapur during the period from June 2017 and June 2019 and were prospectively followed for average duration of 16 months (6-24 months). Results: In our study the mean age of patients was 43 out of which 65% was male and 35% was female. Functional outcome was measured using the AOFAS score and mean AOFAS score was 84.45 at the end of 6 months. Under our study out of 20 patients 4 had excellent outcome, 14 had good result, 2 had acceptable result on basis of AOFAS score. Conclusion: MIPPO is an effective method of treatment for distal tibia fractures because it offers a Biological advantage by preserving periosteal blood supply and combine with C-arm guidance helps in indirect reduction of distal tibia fracture in restoring length an alignment, thus reducing the chances of malunion and deformities. It helps in early mobilization of ankle movement and reduces the ankle stiffness thus improving clinical and functional outcome.

A Dilemma in the Management of Distal Tibia Fractures Solved by Minimally Invasive Percutaneous Plate Osteosynthesis Technique: A Prospective Study

“…In this study, the mean AOFAS total score at three months was found to be 74.46 + 8.278, which was almost similar to a study by Illur et al [8] (Table 7). The mean duration for radiological union in this study was 22 weeks, which is similar to other studies (Table 9).…”

“…In this scale, both subjective and objective variables were used and they were classified into three main categories, which consisted of pain (40 points), function (50 points), and alignment (10 points). Based on the total AOFAS score at each follow-up visit, four outcomes (excellent, good, acceptable, and bad) were derived (Table 1) [8].…”