He X, et al. - Authors assessed the methods and the outcomes of Gustilo type III open distal tibial and tibial shaft fractures with severe anterior and medial soft-tissue injuries, treated with posterolateral minimally invasive plate osteosynthesis (MIPO) technique. Findings suggested that a reasonable and safe treatment option for open distal tibial and tibial shaft fractures, especially Gustilo type III with severe anterior and medial soft-tissue injuries was staged treatment using MIPO technique through a posterolateral approach. Nonetheless, in more patients, it ought to have a higher level of research evidence to confirm the safety of the clinical application of this technique.