Kathmandu University medical journal (KUMJ)
-
Kathmandu Univ Med J (KUMJ) · Apr 2011
Multicenter Study Comparative StudyMinimally invasive plate osteosynthesis with locking compression plate for distal diametaphyseal tibia fracture.
Distal diametaphyseal tibia fracture though requires operative treatment is difficult to manage. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed reduction and minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanicaly stable construct. ⋯ The present case series shows that MIPO with LCP is an effective treatment method in terms of union time and complications rate for distal diametaphyseal tibia fracture. Malleolar skin irritation is common problem because of prominent hardware.