Mipo technique for management of distal third tibia fractures using LCP-precontoured (3.5mm &4.5mm)

Author(s): Dr. Ravindra and Dr. Paramesh K

Abstract: Objective To evaluate the functional outcome, duration to union, advantages and complications using this technique and to compare it with existing techniques Methods Twenty adult patients with closed fractures of distal tibia (AO classification: A1-10; A2-6; A3-2; B1-2) were treated with LCP using Mipo technique & were followed for a period of 2 years (sept 2012 to sept 2014) Results Average age of patients studied was 40.5 years (18-55) with majority being high energy (65% vs. 35%); the mean duration to surgery from the day of presentation was 4.7 days. The average duration to union was 16 weeks with two cases of delayed union {~20 weeks) due to superficial infection which was managed with dressing & antibiotics and one because of early weight bearing. Conclusion The above study shows that Mipo technique using LCP is a safe, effective method to treat distal third tibia fractures with respect to time to union with few complications. The study is limited only to AO 43 A & B types fractures, as we had no experience with type C fractures.

DOI: https://doi.org/10.22271/ortho.2016.v2.i4b.13