Locking internal fixator with minimally invasive plate osteosynthesis for the proximal and distal tibial fractures

Objective:To investigate the efficacy of the locking internal fixator(LIF),which includes the locking compression plate(LCP) and the less invasive stable system(LISS),in the proximal and distal tibial fractures. Methods:We did a retrospective study on a total of 98 patients with either proximal or distal tibial fractures from January 2003 to January 2007,who had received the operation with LIF by the minimally invasive plate osteosynthesis (MIPO) technique.The data consisted of 43 proximal tibial fractures(type A041C3) and 55 distal tibial fractures (type A043C3). Results:No complications were observed in all patients after operation.The mean healing time was 8.4 months (range 5-14 months).Only two cases of delayed union occurred at postoperative 10 months.No infections were reported after the definitive surgery even in the cases of open fractures.All patients reached a full range of motion at postoperative 6 to 9 months and regained the normal functions of knee and ankle joints. Conclusion:Using LIF in M1PO technique is a reliable approach towards the proximal and distal tibial fractures that are not suitable for intramedullary nailing.