Article Type

Original Study


Objectives The  goal of this study was to report and evaluate the treatment of distal tibial fractures using the minimally invasive percutaneous plate osteosynthesis (MIPPO) technique. Background MIPPO has been used for the management of fractures since a long period of time. Good fixation, mild blood loss, and early mobilization are always the main advantages of this technique. Other advantages include the following: it is simple, quick, and causes minimal surgical trauma. Materials and methods From August 2013 to January 2015, 20 (13 male and seven female) patients with a mean age of 49.5 years suffering from type A distal tibial fracture were treated in the Orthopedic Department, El-Menoufiya University Hospital, and Mansoura New General Hospital with medial distal locked plate using the MIPPO technique and early mobilization. Results Fracture union was achieved within 16-23 weeks. In 16 cases union was achieved within 16-20 weeks and was delayed in three cases and achieved within 23 (mean: 19.2) weeks. There was only one case in which nonunion occurred. Conclusion The MIPPO technique is effective in achieving union and excellent functional outcome in metaphyseal distal tibial fractures.