A Clinical Study For Management Of Tibial Diaphyseal Fractures In Adults With Locking Compression Plate Using Mippo Technique

Abstract

Background: The tibia is the most commonly fractured bone of all the long bones in the body. In-spite of advances in treatment, fractures of tibia still pose a challenge to the orthopaedic surgeon as to their best method of management. Vulnerability of soft tissues and increased incidence of open fractures further complicates these fractures. Minimally invasive percutaneous plate osteosynthesis is one of the modalities of treatment of tibial diaphyseal fractures which causes minimal disturbance of blood supply and preserves the soft tissues around the fracture site. The aim of our study is to show the results of treatment of tibial diaphyseal fractures using MIPPO technique. Patients and methods: Our study included fifty patients with tibial diaphyseal fractures treated with locking compression plate using MIPPO technique. Fourteen patients had associated skeletal injuries. Ten patients had a type one open fracture. Results: All the fractures united at an average of 22.25 weeks. Forty patients (80%) were pain free, six patients (12%) had occasional pain (no limitation of activities) and four patients (8%) had persistent pain with limitation of daily activities. 46 (88%) had excellent or good results and 4 (8%) had poor results. 4 (8%) patients had delayed union and 1(2%) patient developed superficial skin infection, 6 patients (12%) had a palpable hardware and 3 patients (6%) had ankle stiffness.Conclusion: Minimally invasive plate osteosynthesis is a good and safe technique for treatment of tibial diaphyseal fractures providing fracture healing, rapid functional recovery, with minimal soft tissue damage and preservation of blood supply. It is a reliable approach for the management of tibial diaphyseal fractures with proper indications.