Background: Distal tibial fractures are common in the light of increasing incidences of road traffic accidents. The existing treatment option of open reduction and internal fixation results in a delay in wound healing, thereby increasing the need for alternative treatment options. The posterolateral approach with locking compression screw insertion is a technique with potential scope, which was explored. Methods: This study was done as a non randomized interventional trial among 15 patients with open type 1 and type 2 tibia fractures. The surgical technique was followed up by measuring the duration of union and the outcome of the surgery was assessed using Baird and Jackson scoring system. Results: The mean age of the study participants was 45 years and majority of them were males. In 46.7%, the fracture was classified as A1 type, and in 20% of the participants, the outcome of the surgery was excellent. Conclusion: Locking plate compression using posterolateral approach is a positive and a satisfactory alternative in the treatment of tibia fractures.
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