Disadvantages of minimally invasive surgery for tibial fractures include interference with joint flexion and extension, occult blood loss, increased risk of disease, and higher demands on the operator, which vary for different procedures. Minimally invasive procedures for tibial fractures include intramedullary fixation and percutaneous plate internal fixation (MIPPO procedure).
Impairment of joint flexion and extension, occult blood loss, and increased risk of disease are the main disadvantages of intramedullary nail internal fixation.
Due to the surgical access, the patellar ligament may be agitated, affecting knee flexion and extension. Intramedullary nails require access to the tibial marrow cavity to destroy the bone marrow, causing occult blood loss, and spilled fat droplets increase the risk of fat embolism. There is also an increased risk of infection if intramedullary nailing is used blindly in severe open tibial fractures.
The second major disadvantage of the MIPPO procedure is that it is technically demanding, requiring the operator to have solid closed reduction techniques and some experience in open surgery, with a long learning curve.
Tibia fracture is a common fracture in the clinic, once it occurs, it should be seen in the hospital in time to be diagnosed and treated under the guidance of a professional doctor to customize an individualized treatment plan.