Abstract: Background: Distal tibial fractures including tibial pilon present a challenge due to subcutaneous location of tibia and precarious blood supply of distal leg. MIPO (Minimal invasive plating osteosynthesis) has evolved as a newer concept to treat distal tibial fractures with minimal articular comminution and minimal soft tissue damage
Method: A prospective study for the management of distal tibial fractures by MIPO technique by using LCP (locking compression plate) was done, in 20 patients. Patients were followed and scored according to TEENY and WISS scoring criteria.
Result: Among 20 patients, there were 16 males and 4 females with a mean age of 41.4 yrs (range from 20-76yrs). High energy trauma (road traffic accident) predominated causing 11 fractures. Superficial wound infections were seen in 02 cases, surgical wound breakdown with implant exposure in 01 case. 15 patients had excellent, 3 patients had good outcome and 02 patients had fair outcome.
Conclusion: We conclude that MIPO is an effective technique for the management of distal tibial fractures.
