MIPO Technicque for Management of Distal Tibia Fractures Using LCPPrecontoured (3.5mm & 4.5mm) - A study Done in 250 Bedded General Hospital, Tangail

Abstract

Fractures of the distal tibia are unique in that the bone is subcutaneous with poor muscular coverage. The
consequence of its decreased vascularity leads to complications like delayed bone union, wound complications such
as dehiscence and infection. These fractures can be managed with various techniques. Open reduction and internal
fixation by plating, have been used with varying results. In current orthopedic practice, minimally invasive
percutaneous plating osteosynthesis (MIPO) and interlocking nailing are the preferred techniques for fractures of the
distal third tibia. In our study, twenty adult patients with closed fractures of distal tibia were treated with LCP using
MIPO technique & were followed for a period of one year (January 2014 to December 2014). Average age of patients
studied was 40.5 years (18-55) with majority being high energy trauma (65% vs. 35%). Mean duration for surgery
from day of identification to go for surgery was 4-7 days. Results were evaluated clinically and radiologically. In 18
cases (90%) fractures united & 2 cases (10%) had delayed union. All fractures were united by 20 weeks. Superficial
skin infection was found in 2 cases, Valgus mal-alignment in 2 cases &1 case had ankle stiffness. Finally results
showed:10 cases (50%) had excellent outcome, 4 cases (20%) had good outcome, 4 cases (20%) had fair outcome,
and 2 cases (10%) had poor outcome.

Bangabandhu Sheikh Mujib Med. Coll. J. 2022;1(1):09-13