COMPARATIVE STUDY BETWEEN MINIMALLY INVASIVE LOCKED PLATE VERSUS MULTIDIRECTIONAL INTRAMEDULLARY NAIL IN TREATMENT EXTRA-ARTICULAR DISTAL TIBIAL FRACTURES | ||
| ALEXMED ePosters | ||
| Articles in Press, Accepted Manuscript, Available Online from 19 November 2025 | ||
| Document Type: Preliminary preprint short reports of original research | ||
| DOI: 10.21608/alexpo.2025.442806.2310 | ||
| Authors | ||
| Amin Abdelrazek Youssef1; Elsayed Abdelhalim Abdullah1; Mena Micheal Mussa2; Abdelrahman Hatem Mohamed Gad el Hak* 1 | ||
| 1Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Alexandria University | ||
| 2orthopedic surgery, Alexandria University, EGYPT | ||
| Abstract | ||
| Distal tibial fractures are the most challenging injuries in orthopedic trauma due to the unique anatomical characteristics of the region. These fractures account for nearly 38% of tibial injuries and often occur in young, active patients due to high-energy mechanisms such as road traffic accidents (RTA) or falls from height (FFH). The distal tibia is subcutaneous with minimal soft-tissue coverage, and its blood supply is relatively poor compared to other long bones. Open reduction and internal fixation (ORIF) has been used to treat these fractures but is associated with high complication rates due to extensive soft-tissue dissection and devascularization. In recent decades, newer techniques based on the principles of biological fixation have emerged, notably Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) and intramedullary nailing (IMN). MIPPO employs indirect reduction and limited dissection to preserve periosteal blood supply, while IMN, particularly with the development of the Expert tibial nail, offers stable fixation with multidirectional locking options suitable for metaphyseal fractures. This study was designed to prospectively compare the results of MIPPO plating versus Expert IMN in the management of extra-articular distal tibial fractures in skeletally mature patients. AIM: The purpose of this study was to compare between minimally invasive locked plate versus multidirectional intramedullary nail in treatment extraarticular distal tibial fractures. | ||
| Keywords | ||
| IMN; MIPPO; DISTAL TIBIAL | ||
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