Twenty patients of Distal Tibial fractures over a period of two and half years were retrospectively reviewed for this study. All were adult patients with males fifteen female five. 4 mm LCP plates were used (distal medial tibial LCP) in all the cases. Fibula fixation was performed in the majority of comminuted fractures to prevent collapse of the fracture. There were four cases of delayed wound breakdown in fractures fixed with the plate (DMT LCP). Five patient required primary bone grafting. MIPO with LCP was observed to be reliable method of stabilization of these fractures. The pre contoured DMT LCP was observed to be a better tolerated implant in respect to complication of soft issue, bone healing and functional outcome.

Keywords : Distal Metaphyseal Tibial Fractures; Distal Medial Tibial Locking Plate (DMT LCP); MIPO (Minimally Invasive Plate Osteosynthesis).