Minimally Invasive Plate Osteosynthesis for Distal Tibia Fractures

Ted C Lai; Justin J Fleming

doi:10.1016/j.cpm.2017.12.005

Minimally Invasive Plate Osteosynthesis for Distal Tibia Fractures

Clin Podiatr Med Surg. 2018 Apr;35(2):223-232. doi: 10.1016/j.cpm.2017.12.005. Epub 2018 Feb 1.

Authors

Ted C Lai¹, Justin J Fleming²

Affiliations

¹ Foot and Ankle Surgery, Shore Orthopaedic University Associates, 24 MacArthur Boulevard, Somers Point, NJ 08244, USA. Electronic address: Ted.C.Lai@gmail.com.
² University Orthopaedic Associates, 2 World's Fair Drive, Somerset, NJ 08873, USA.

PMID: 29482791
DOI: 10.1016/j.cpm.2017.12.005

Abstract

Surgical treatment of distal tibia fractures can present as a difficult task. Intramedullary nailing (IMN), external fixation, and open reduction internal fixation (ORIF) have displayed various complications ranging from a high rate of knee morbidity with IMN to wound complications and infection with ORIF. Minimally invasive plate osteosynthesis (MIPO) has been used to decrease development of these complications. MIPO respects the soft tissue envelope along with maintaining the biological environment needed for proper osseous healing. Favorable results have been shown with MIPO in regard to function, healing time, and decreased complications.

Keywords: Distal tibia fracture; MIPO; Minimally invasive; Percutaneous; Pilon fracture.

Publication types

Review

MeSH terms

Ankle Injuries / surgery*
Bone Plates
External Fixators
Fracture Fixation, Internal / adverse effects
Fracture Fixation, Internal / methods*
Fracture Healing
Humans
Minimally Invasive Surgical Procedures / adverse effects
Minimally Invasive Surgical Procedures / methods
Tibial Fractures / diagnostic imaging
Tibial Fractures / surgery*
Wound Healing