Treatment of tibial fractures using minimally invasive percutaneous plate osteosynthesis: Report of 12 cases

Objective: To introduce the technique of minimally invasive percutaneous plate osteosynthesis(MIPPO) in treatment of tibial fractures and to observe the outcome.Methods: Twelve cases of tibial fractures were treated with MIPPO and no external fixation was used.Active and passive motion of ankle joint without weight-bearing was allowed two days after operation.Results: All the patients were followed up for 6 to 18 months.No infection,delayed union,nonunion or malunion were found.The mean time of bone union was 14 weeks.According to Johner-Wruhs score standard,the results were excellent in 8 cases,good in 3 cases and fair in 1 case.The excellent and good rates were 91.6%.Conclusions: MIPPO is a safe and effective technique for treatment of tibia fractures.