Percutaneous temporal wiring method for minimally invasive plate osteosynthesis of a distal tibial fracture.

Reduction of distal tibial fractures-especially fractures that include an oblique or spiral fracture component-during operative treatment with minimally invasive plate osteosynthesis is not always easy. Unexpected and unacceptable displacement can sometimes be seen after plate fixation. We designed an effective fracture reduction method involving a percutaneous temporal wiring technique for the reduction of distal tibial fractures, including fractures that contain oblique or spiral fracture components, during the minimally invasive plate osteosynthesis procedure. Our method can consistently accomplish satisfactory reduction of these fractures and easily maintain reduced fractures, fix the plate, reduce the level of radiation exposure during the operation.