Minimally Invasive Plate Osteosynthesis for Tibial Shaft Fracture A Case Report of an Adolescent Male with Open Growth Plates

Case: An adolescent male patient with a highly comminuted fracture of the distal third of the tibia underwent minimally invasive plate osteosynthesis (MIPO) 1 day post‐injury. Postoperatively, tibial radiographs showed callus at 6 weeks and healed fracture at 10 weeks. Seventeen months after fracture, the hardware was removed because of prominence. The patient remained active at a high level as of the last follow‐up (3.5 years after injury). Conclusion: Percutaneous plating offers a number of advantages in the treatment of distal tibial fractures in adolescents. In the case presented, we were able to control alignment and rotation while providing stability to the distal aspect of the tibia.