International Journal of Medical and Health Research

Materials & Methods: This study was conducted in the department of orthopaedics in 2014. It consisted of 82 patients having tibial fractures. Patient history, local and general examination was performed in patients. X-ray tibia was done and CT scan was also performed wherever necessary. Fractures of type I, II with <5mm of articular depression, V and VI were reduced by ligamentotaxis and manipulation on traction table and proceeded with MIPPO. Fractures of type II with >5mm of articular depression, type III and type IV were directly taken for open reduction.

Results: Out of 82 patients, 42 were males and 40 were females. The difference was non – significant (P – 1). Age group 21-30 years had 10 males and 8 females, age group 31-40 years had 26 males and 22 females, age group 41-50 years had 6 males and 10 females. The difference was non – significant (P- 0.1). 66 patients had no complication. 3 had knee joint deformity, 2 had implant failure, 1 had varus deformity, 4 had superficial infection, 3 had deep infection, 3 had limping. The difference was non - significant (P> 0.05). 42 had no particular depression, 40 had <2mm, 2 had 2-5mm and 2 had >5mm of articular depression. The difference was non – significant (P> 0.05).

Conclusion: Displaced fractures such as Schatzker Type I are well managed with closed reduction and internal fixation with MIPPO technique which gives excellent results. ORIF can be done in type II, type III, and type IV fractures.