Current Perspectives on Intramedullary Nailing and MIPO in Distal Tibial Fracture Management
DOI:
https://doi.org/10.48047/9dam3p65Keywords:
Intramedullary Nailing, MIPO, Distal Tibial Fracture ManagementAbstract
Background:. Distal tibial fractures present a unique clinical challenge due to their subcutaneous location, limited soft tissue coverage, and complex biomechanical environment. The management of these injuries has evolved significantly, with a strong emphasis on achieving stable fixation while preserving the biological environment and minimizing soft tissue compromise. Two widely adopted fixation methods are intramedullary nailing (IMN) and minimally invasive plate osteosynthesis (MIPO). Both techniques are supported by substantial literature, yet controversies remain regarding their relative superiority in terms of alignment, union rates, complications, and functional outcomes.
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References
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Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 3rd ed. Stuttgart: Thieme; 2017.
Guo JJ, Tang N, Yang HL, Tang TS. A prospective, randomised trial comparing closed intramedullary nailing with percutaneous plating in the treatment of distal metaphyseal fractures of the tibia. J Bone Joint Surg Br. 2010;92(7):984-988.
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