Minimizing radiation and incision in minimally invasive percutaneous plate osteosynthesis (MIPPO) of distal tibial fractures

The traditional approach for plating of distal tibia had many problems. Minimally invasive percutaneous plate osteosynthesis for periarticular fractures are considered ideal these days with the availability of locking compression plate. However, this procedure demands radiation exposure. Indirect reduction, percutaneous plate positioning, and drill guide insertion all may require abundant radiation exposure. Minimizing radiation can still be done at the cost of extended skin incision. But we describe our technique of minimizing radiation and incision in minimally invasive percutaneous plate osteosynthesis in distal tibial fractures.