الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
In this study we had 96 patients in two groups. 48 patients in each
group. First group treated with MIPO technique and second group treated
with plate using Expert nail.
The purpose of this study is to compare between two groups
regarding operation time, exposure to radiation time, time to union,
malunion, infection rate and functional score according to olerud and
molander score.
Intramedullary nailing allows a traumatic dissection of soft tissue,
closed stabilization while preserving the vascularity of the fracture site
and integrity of the soft tissue envelope. Intramedullary canal anatomy at
this level prevents intimate contact between the nail and endosteum so;
concerns have been raised regarding the biomechanical stability of
fixation and risk of malunion.
Plate fixation is effective in stabilizing distal tibia fractures. MIPO
use indirect reduction methods and allow stabilization of distal tibia
fractures while preserving vascularity of the soft tissue envelope.
Fibula is commonly affected in distal tibia fracture. The role of
adjunctive fibular fixation in distal tibial metaphyseal fractures has been
controversial; although fibular fixation has been shown to improve
stability of distal tibial fractures, there has been increased potential for
soft tissue related complications and a delay to tibial fracture healing.