Comparison between conventional Open Reduction and Internal Fixation and Minimally Invasive Plate Osteosynthesis for Treatment of Distal Tibia Fractures

  • Hesham H. Refae
  • El Sayed A. Ahmed
  • Hamdy H. Tammam
  • Tarek A. Abdel-daym
Keywords: Distal tibia fractures, ORIF, MIPO, functional outcome


Purpose: To compare the results of distal tibia
fractures treated by conventional open reduction and
internal fixation (ORIF) with minimally invasive
plate osteosynthesis (MIPO).
Methods: A prospective randomized controlled study
of 40 patients with distal tibia fractures (Type A,
AO/OTA classification) in Qena university Hospital
from May, 2017 to February, 2018. These patients
were diagnosed as closed fracture or open fracture
grade I by Gustilo classification. Twenty were treated
by ORIF and Twenty were treated by MIPO using
plates. The operating time, bone union time,
functional outcome were analyzed at a 6-month
Results: Operating time, bone ,union time, ,
functional outcome were not significantly different
between both groups.
Conclusion: The results of distal tibia fractures
treated by ORIF with MIPO were not significantly