Management of Proximal Tibial Fractures by Locking Compression Plate
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 11
Abstract
Introduction: Fractures of proximal tibia have always been difficult to treat because of the subcutaneous location of its anteromedial surface. These days significant attention has been paid to the condition of soft tissue envelope. Study aims and objectives were to evaluate proximal tibia fracture union treated by Locking compression plate and to evaluate clinical outcome of fracture treated by Locking compression plate in regards to Knee range of movements and complications of Locking compression plate. Material and methods: A prospective study was done on thirty patients of proximal tibial fractures treated by locking compression plate in Orthopaedic Department of Dr. R. N. Cooper Municipal General Hospital, Mumbai. Duration of study was from February 2015 to September 2016. We included patients of both the genders from 18 to 70 years of age, those were treated with locking compression plates for intra-articular and extraarticular fractures of proximal tibia. However, type II and Type III open fractures (Gustilo Anderson), pathological fractures and patients with severe comorbidities were excluded from the study. Ethics committee approval was obtained. Informed written consent was taken. Data was collected from the patients. Results: Majority of the patients (30%) were in the age group of 31-40 years. There was male preponderance (80%) in the study while female patients constituted 20% of the study group. Road Traffic Accident was found to be the most common cause of fracture. As per AO classification system 3.3% of the patients were type A1, 13.3% type A2, 30% type A3, 16.7% type C1, 30% type C2 and 6.7% type C3. ORIF technique was used in 23 (76.7%) patients while MIPPO was used in 7 (23.3%) patients. Most of the fractures (83.4%) were united by 12-15 weeks while 1 (3.3%) fracture was united in less than 12 weeks and 4 (13.3%) fractures were united in more than 15 weeks. 26 (86.7%) patients had excellent results with full, pain-free function and 4 (13.3%) patients had good result. Conclusion: From this study, we concluded that ORIF with LCP seems to be good implant choice in proximal tibia fractures including difficult fracture situations.
Authors and Affiliations
Rajesh Sethiya, Vivek Dubey, Pradeep Sangnod, Ashish Gupta, Sunil M. Shahane, Ashwin Samant
Keywords
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