Cole Peter A. M.D.; Benirschke, Stephen K. M.D.Techniques in Orthopaedics: September 1999 Minimally Invasive Orthopaedics: Articles: PDF Only Buy Abstract Summary: This article describes a minimally invasive technique to treat tibia pilon fractures characterized by metadiaphyseal extension. This technique of “percutaneous-submuscular plating” is placed in the context of a staged and carefully timed approach to avoid well-known complications common to this injury. © 1999 Lippincott Williams & Wilkins, Inc.