Muhammad Ali, Muhammad Saleem, Muhammad Usman Sarwar, Zahid Hafeez, Aleena Younas, Muhammad Ishtiaq.
Outcome of Distal Tibial Fractures fixed with Precontoured Periarticular Locking Plates using MIPO Technique: a case series of 60 patients.
Pak J Med Health Sci Jan ;13(2):301-3.

Background: Fractures distal tibia including pilon present a challenge, because larger portion of tibia is in subcutaneous location, has minimal soft tissue coverage and minimal blood supply. Now a newer technique MIPO (Minimal invasive plating osteosynthesis) has introduced as a new concept to treat distal tibia fractures with minimal articular comminution and minimal soft tissue damage. Aim: To treat fracture of distal tibia who meet the criteria to manage with precontoured periarticular locking compression plate (LCP) through MIPO technique. Method : In this study we planned a prospective study for We included total 60 patients from January to December 2017. We used AO system for fracture classification and postoperatively patients were assessed and scored using Ovadia-Beals scoring system. Result : Among 6 0 patients operated, there were 44 males and 16 females. Age ranges from 18 to 70 with the mean age of 42.7 years. 51 patients had Type A ( Extra-articular fractures) , 06 patients had Type B (Partial articular and 03 had Type C (Total articular ). Road traffic accidents was the predominant cause. The mean operative time was 72.6 minutes (55-90 minutes) . Conclusion : Locking compression plate using MIPO technique is an effective method for treatment for distal tibia fracture. It preserves soft tissue disruptions and bone biology.

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