Malrotation does not affect the Functional Results of the An
A Study was conducted to investigate whether rotational malalignment of tibia, after fracture management with minimally invasive plate osteosynthesis technique (MIPO), leads to impaired results in knee and ankle joint functional scores.

65 consecutive patients with a unilateral distal tibia fracture and had full bone union were analyzed. All patients were treated with a MIPO technique. The fibular fracture, when present, was fixed first.

Results:
--14 patients had a rotation higher than 10 degrees. The mean malrotation angle was 14.6 degrees.

--Concomitant fibular fractures were present in 13 patients, which did not seem to have a significant influence on malrotation.

--There was no significant difference between groups regarding functional scores and range of motions of the knee and ankle joints.

Conclusively, despite high rates of malrotation following MIPO treatment of tibial metaphyseal–diaphyseal fractures, this finding does not appear to have a substantial deleterious impact on knee and ankle joint functioning. To avoid malrotation, a thorough intraoperative examination using a variety of procedures should be carried out.

Source: https://journals.lww.com/jorthotrauma/Abstract/2021/09000/Does_Malrotation_After_Minimally_Invasive_Plate.9.aspx
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