Tibia fractures may be treated conservatively and by various surgical methods. Results of the conservative operations are 1.3 % nonunion and up to 15 % inaccurate union. Minimally Invasive plating, a biological application developed in the last decade, can provide satisfactory treatment of fracture fixation.
Intramedullary nailing is considered to be the gold standard, especially in the closed fractures located in the mid-line. It is a strong fixation method that enables the patient to give safe load in the early period.
Minimally Invasive plating fixation is often applied to fractures located in the metaphyseal region (upper and lower end regions). Partial and simple metaphyseal fractures are fixed by subcutaneous tunneling to the medial crural region using low-profile plaques. Correction is accepted if coronal-sagittal and rotational alignment is provided, and anatomical alignment is not mandatory. The hardness of the fixation is at the level of micro-motion, which is known as the relative equilibrium. Micro-motion, especially in the case of segmental fractures, if it can be used in the appropriate amount, has a positive effect on fracture union.
Intramedullary nailing is considered to be the gold standard, especially in the closed fractures located in the mid-line. It is a strong fixation method that enables the patient to give safe load in the early period.
Minimally Invasive plating fixation is often applied to fractures located in the metaphyseal region (upper and lower end regions). Partial and simple metaphyseal fractures are fixed by subcutaneous tunneling to the medial crural region using low-profile plaques. Correction is accepted if coronal-sagittal and rotational alignment is provided, and anatomical alignment is not mandatory. The hardness of the fixation is at the level of micro-motion, which is known as the relative equilibrium. Micro-motion, especially in the case of segmental fractures, if it can be used in the appropriate amount, has a positive effect on fracture union.
