Ch. Banikanta Sharma, Sanjib Waikhom
Distal 1/3rd of tibia being a region with precarious blood supply is known for delayed union or non-union when a fracture occurs in this part. Conservative treatment with POP cast after manipulation and reduction, Interlocking nail, Plate osteosynthesis, Ring fixators etc. are the usual treatment modalities employed for the management of these fractures. Type of fracture, age of the patient, modality of treatment etc. are some of the factors that determine the outcome of the fracture. A study was conducted at JNIMS Prompt to evaluate the efficacy of Locking Medial Metaphyseal plate using Minimally Invasive Plate Osteosynthesis (MIPO) technique in the management of Fracture Distal Tibia in 21 patients during the period March 2012 to March 2014. Average injury–surgery interval was 6 days. All fractures got united with an average duration of 15 weeks. 1 patient developed superficial wound infection which resolved spontaneously with 5 days of parenteral 3 rd generation cephalosporin. 2 patients complained of hardware prominence at lower leg. Gentle soft tissue handling and avoiding releasing of tourniquet before the skin closure, were strictly followed. Pre contoured tibial locking medial metaphyseal plate using MIPO technique is an effective method in terms of union time and complication rate for treatment of fracture distal tibia.
