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Abstract Objective： To compare the clinical effect of minimally invasive percutaneous plate osteosynthesis（MIPPO） and open reduction and internal fixation（ ORIF） in the treatment of distal tibial fracture. Method： 60 patients with distal tibial fracture treated in our hospital from May 2012 to May 2014 were selected and divided into ORIF group and MIPPO group with 30 cases in each group， who were treated by ORIF and MIPPO respectively， the clinical efficacy was compared between the two groups.Result： There was no significant statistical difference between the two groups in hospitalization. Operation time， length of incision， fracture recovery time of the MIPPO group was shorter than that of the ORIF group， blood loss was less， excellent and good rate of the clinical efficacy was higher， the incidence of complication was lower， the differences were statistically significant（ P<0.05）. Conclusion： Both MIPPO and ORIF are safe and effective procedures for fixation of distal tibia fracture， while MIPPO is advantageous with less bleeding， shorter operation time， lower complication， rapid postoperative recovery， better clinical efficacy in treating distal tibia fracture compared with ORIF， which worthy of better being studied and promoted in clinic.
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