The Discoveries of Clinical Trials for Patients Undergoing Minimally Invasive Plate Osteosynthesis (MIPO) for Distal Tibia Fractures

Abstract

Background: Distal tibia fractures, commonly resulting from high-energy trauma, present significant challenges in orthopedic surgery due to their location near the ankle joint and the risk of complications such as nonunion and infection. Minimally Invasive Plate Osteosynthesis (MIPO) has emerged as a favored technique for managing these fractures, offering the benefits of reduced soft tissue damage and improved fracture healing.

Aim: This study aims to evaluate the clinical outcomes of patients undergoing MIPO for distal tibia fractures and identify factors influencing the success of this surgical technique.

Methods: A prospective cohort study was conducted involving 100 patients with distal tibia fractures treated using MIPO. Data were collected on patient demographics, fracture characteristics, surgical details, postoperative complications, and functional recovery. Statistical analysis was performed using SPSS version 23.0, with significance set at p < 0.05.

Results: The mean time to radiographic union was 16.8 weeks, with 90% of fractures healing within 20 weeks. Nonunion occurred in 4% of cases, and delayed union in 6%. Postoperative complications included superficial infections (8%), deep infections (2%), and hardware failure (3%). By the 6-month follow-up, 88% of patients achieved full weight-bearing status. Age and high-energy trauma were significant predictors of delayed union (p < 0.05).

Conclusion: MIPO is an effective technique for the management of distal tibia fractures, offering favorable healing and functional outcomes with minimal complications. However, older patients and those with high-energy trauma may require additional care to mitigate risks of delayed union.

Recommendations: Future research should focus on optimizing patient selection and refining surgical techniques to further reduce complications. Long-term studies are also recommended to assess the durability of MIPO in managing distal tibia fractures.

Keywords:  Distal tibia fractures, Minimally Invasive Plate Osteosynthesis, MIPO, fracture healing, orthopedic surgery