الفهرس 
Management of Distal Tibia FractureOnly 14 pages are availabe for public view
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Abstract
The incidence of distal tibia fractures is 0.7% of all body fracture and it constitutes to about 10% of all tibial fractures. (1).
Because of subcutaneous location of this area, poor blood supply and decreased muscular cover anteriorly, complications such as delayed union, nonunion, wound infection, and wound dehiscence are often seen as a great challenge to the surgeon. (2)
Expert nail and MIPPO techniques are two well-accepted and effective method in fixation lower fourth tibial fracture.Expert nail showed lower infection rate and faster time to healing but with more mal-alignment in reduction. While in MIPPO technique less mal-alignment reduction could be achieved but with more infection problems and slower rate of union. Good handling of soft tissues is an important factor to rapid healing of the fracture and to avoid complications. Good pre-operative planning for each patient to achieve good reduction with minimal soft tissue injury was an important as it reduce time of operation and the need for secondary surgeries.
Further studies with longer period of follow up and larger number of patients is needed to help orthopedic surgeons to proper choice of technique and implant in this type of fracture.