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Abstract In this study we had 96 patients in two groups. 48 patients in each group. First group treated with MIPO technique and second group treated with plate using Expert nail. The purpose of this study is to compare between two groups regarding operation time, exposure to radiation time, time to union, malunion, infection rate and functional score according to olerud and molander score. Intramedullary nailing allows a traumatic dissection of soft tissue, closed stabilization while preserving the vascularity of the fracture site and integrity of the soft tissue envelope. Intramedullary canal anatomy at this level prevents intimate contact between the nail and endosteum so; concerns have been raised regarding the biomechanical stability of fixation and risk of malunion. Plate fixation is effective in stabilizing distal tibia fractures. MIPO use indirect reduction methods and allow stabilization of distal tibia fractures while preserving vascularity of the soft tissue envelope. Fibula is commonly affected in distal tibia fracture. The role of adjunctive fibular fixation in distal tibial metaphyseal fractures has been controversial; although fibular fixation has been shown to improve stability of distal tibial fractures, there has been increased potential for soft tissue related complications and a delay to tibial fracture healing. |