Assis t an t Pr of essor , Lectur er , R esiden t, Pr of essor , Dep artmen t of Orthop ae dics, Nep al Me dic al Colleg e Teaching Hos pit al, Jorp ati, K athmandu, Nep al

Background The limit ed soft tissue, subcut aneous loc ation and poor v ascularity r ender the dis ta ti bial fr actur es ver y challenging. T r e atmen t of dis tal ti bial fr actur es using minimally in v asive per cutaneous pla t e os teos yn the sis t echnique ma y minimise damag e t o soft tissue s and v ascular in tegrity of bon y fr agmen ts, le aving c omminut ed fr agmen ts out of the mechanic al c ons truct, pr eser ving soft tissue s with limit ed oper ativ e e xposur e. Objective