Vasantharaman, RR, DevendranL, Ashok2020-10-162020-10-162019-05Vasantharaman R, R Devendran, L Ashok. Outcome Analysis of Distal Tibial Fractures Managed by Open Reduction Internal Fixation using Plate Osteosynthesis. International Journal of Scientific Study. 2019 May; 7(1): 1-42321-595X2321-6379http://imsear.searo.who.int/handle/123456789/209119Introduction: Fracture of the distal tibia is one of the common fractures encountered by an orthopedic surgeon. Many studieshave been associated even as little as 1 mm incongruence of articular surface landed with worst outcome. Distal tibial fracturesare complicated by poor bone stock, soft tissue complication, poor vascularity leading to nonunion, gross comminution, andmalalignment.Aim: The aim of the study was to evaluate functional outcome analysis of distal tibial fractures managed by open reductioninternal fixation using plate osteosynthesis.Materials and Methods: This was a prospective study conducted at KAPV Medical College, Tiruchirappalli. A total of 20 patientswere treated with distal tibial plating. Fibular plating was done in eight of these patients. Patients were analyzed using Karlströmand Olerud scoring system, with follow-up of 3–18 months.Results: Ten patients had excellent functional results, six patients had good results, three patients had acceptable results,and 1 patient had a poor result. Quality and vascularity of bone seem to influence the outcome to a large extent.Conclusion: Based on our study, we conclude that distal tibial fractures managed with plate minimally invasive plateosteosynthesis technique allow early mobilization of the patients and provide a good functional outcome.Distal tibial fractureMinimally invasive procedurePlate and screwsJournal ArticleIndiaAssociate Professor, Department of Orthopaedics and Traumatology, KAPV Government Medical College and Hospital, Tiruchirapalli, Tamil Nadu, IndiaAssistant professor, Department of Orthopaedics and Traumatology, KAPV Government Medical College and Hospital Tiruchirapalli, Tamil Nadu, IndiaPostgraduate Student, Department of Orthopaedics and Traumatology, KAPV Government Medical College and Hospital, Tiruchirapalli, Tamil Nadu, India