Minimally invasive plate fixation of the tibia


The treatment of fractures of the distal third of the tibia has evolved with the development of improved imaging and surgical techniques. The outcome of treatment using conventional fixation is poor. We report a study on indirect reduction in 26 patients. All cases achieved radiological union and full weight bearing. The good to excellent results suggest that this method should be considered in metaphyseal fractures where intra-medullary nails are not suitable.


Le traitement des fractures de la partie distale du tibia avec troisième fragment peut être amélioré avec le développement des techniques d’imagerie et de traitements chirurgicaux. Le devenir du traitement, utilisant une fixation conventionnelle est peu satisfaisante. Nous rapportons une étude sur la réduction indirecte de cette fracture chez 26 patients. Tous les cas sont consolidés sur le plan radiographique, avec appui total. Les excellents résultats suggèrent que cette méthode peut être utilisée dans les fractures métaphysaires dans lesquelles l’enclouage centro médullaire n’est pas possible.

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Correspondence to Vasu Pai.

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Pai, V., Coulter, G. & Pai, V. Minimally invasive plate fixation of the tibia. International Orthopaedics (SICO 31, 491–496 (2007).

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  • Soft Tissue Injury
  • Distal Tibia
  • Tibial Shaft Fracture
  • Distal Tibial Fracture
  • Distal Nature