title: Extra-articular distal tibia facture (AO-43A): A retrospective study comparing modified MIPPO with IMN.
abstract: OBJECTIVE
  We introduce a new MIPPO procedure which is simple and effective for the treatment of extra-articular distal tibia facture (AO-43A). The aim of this retrospective study was to compare our modified MIPPO with IMN.
  
  
  METHODS
  This retrospective study included 64 patients treated with our modified MIPPO and 61 patients with IMN. The data of sex, age, operation time, blood loss, wound complications, mal-reduction, shortening and fracture healing was analyzed.
  
  
  RESULTS
  The operation time was significantly shorter in the MIPPO group than in the IMN group (56.0min vs. 85.0min, P<0.001). There were 5 patients (8.2%) in the IMN group and 2 patients (3.1%) in the MIPPO group who had wound complications (P=0.399). Mal-reduction occurred in 17 patients (27.9%) managed with IMN and in 3 patients (4.7%) who had MIPPO (P<0.001). Furthermore, no patients had a left/right difference in the length of the tibia of >1cm and nonunion in both groups.
  
  
  CONCLUSIONS
  Our results have shown that our modified MIPPO has enormous advantages over IMN for extra-articular distal tibia fracture (AO-43A).
authors: Department of Orthopaedics, Shanghai Sixth People's Hospital, 600 Yishan Road, Shanghai 200233, China.
authors: Jun
authors: J
authors: Shen
authors: Department of Orthopaedics, Shanghai Sixth People's Hospital, 600 Yishan Road, Shanghai 200233, China. Electronic address: junxu19781214@163.com.
authors: Jun
authors: J
authors: Xu
authors: Department of Orthopaedics, Shanghai Sixth People's Hospital, 600 Yishan Road, Shanghai 200233, China.
authors: Ming-Jie
authors: MJ
authors: Tang
authors: Department of Orthopaedics, Shanghai Sixth People's Hospital, 600 Yishan Road, Shanghai 200233, China.
authors: Cong-Feng
authors: CF
authors: Luo
authors: Department of Orthopaedics, Shanghai Sixth People's Hospital, 600 Yishan Road, Shanghai 200233, China.
authors: Chang-Qing
authors: CQ
authors: Zhang
mesh_terms: D000328:Adult; D001858:Bone Nails; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D061646:Operative Time; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000517:prevention & control*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Extra-articular distal tibia facture (AO-43A); IMN; Our modified MIPPO