Percutaneous plating and intramedullary nailing for distal tibia fractures.

Abstract: Objective To compare, the lateral minimally invasive percutaneous plate osteosynthesis (MIPPO) and intramedullary nail fixation for AO / ASIF-43 A type distal tibial fractures clinical effect will undergo surgery in 90 cases of AO / ASIF- 43 A type distal tibial fractures were randomly divided into three groups, each group with 30 cases .A MIPPO medial treatment, group B outer MIPPO therapy, group C using intramedullary nail fixation. using the corresponding measurement parameters and radiographic clinical score to assess the effect of the surgery. Results The operation time, blood loss, hospital stay and fracture healing time difference was not statistically significant (P> 0.05) .3 group were healed fracture in all patients. Postoperative 18 After months of follow-up, three groups Lowa ankle malunion rates and incidence differences were statistically significant (P <0.05), group C was significantly higher than A, group B (P <0.05), A, group B of There was no significant difference between (P> 0.05) .A, B, C group of soft tissue complication rates were 13.3%, 10.0% and 0, between the two groups was statistically significant (P = 0.047) difference between group C significantly lower than A, group B (P <0.05), not between A, B group difference was statistically significant (P> 0.05). Conclusion MIPPO treatment AO / ASIF-43A type distal tibial fractures and soft tissue complication rate intramedullary nailing, and the high incidence of intramedullary nailing malunion in MIPPO; inside, outside of clinical treatment MIPPO rather, when the distal medial tibia poor skin condition, choose the outside MIPPO implementation fracture fixation .