scholarly journals Surgical management of proximal tibial fractures with locking compression plate

2017 ◽  
Vol 3 (4) ◽  
pp. 756
Author(s):  
Girisha B. A. ◽  
Rajesh P. ◽  
Satish Kumar C. ◽  
Muralidhar N.
Keyword(s):  
Knee Joint ◽  
Road Traffic ◽  
Plate Osteosynthesis ◽  
Weight Bearing ◽  
Locking Compression Plate ◽  
The Body ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Proximal Tibial Fractures ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Incidence of proximal tibial fractures is increasing due to increasing incidence of road traffic accidents (RTA). Knee joint being one of the major weight bearing joint of the body, appropriate management of fracture around it will be of paramount importance in maintaining mobility. The recent development of locking compression plate (LCP) has revolutionized the treatment of proximal tibial fractures by overcoming the few drawbacks of conventional buttress plate.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We studied 30 patients involving proximal tibial fracture manged using LCP [23 patients with minimally invasive plate osteosynthesis, (MIPO) technique and 7 patients with Open reduction and internal fixation (ORIF) technique]. We followed up all the patients until complete union of fractures</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The average time for union of fracture was 14 weeks (range: 12-24 weeks). Overall 96.7% patients had acceptable outcome (70% excellent and 26.7% good). Patients treated with MIPO technique healed earlier and more frequently had excellent results than those treated with ORIF. A total of four patients had complications (knee joint stiffness in 1, postoperative loss of reduction in 1, infection in 1 and knee instability in 1). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Locking compression plate system acts as a good biological fixation for proximal tibial fractures even in difficult fracture situations. MIPO technique offers faster healing and better outcome than ORIF in patients with proximal tibial fractures.</span></p>

STUDY ON FUNCTIONAL OUTCOME OF TIBIAL PLATEAU FRACTURES TREATED WITH LOCKING COMPRESSION PLATE

2021 ◽  
pp. 30-32
Author(s):  
M. Ganesh Kumar ◽  
M. Sivakumar
Keyword(s):  
Knee Joint ◽  
Functional Outcome ◽  
Tibial Plateau ◽  
Locking Compression Plate ◽  
Tibial Plateau Fractures ◽  
Tibial Fractures ◽  
Radiological Outcome ◽  
Proximal Tibial Fractures ◽  
Compression Plate

Proximal tibial fractures, one of the commonest intra articular fractures. Incidence of these fractures is increasing due to road trafc accidents. At the same time surgical treatment options for the same are also being modied continuously. Any fracture around the weight bearing joint like knee joint is of paramount importance as it would result in signicant morbidity. Hence the treatment of proximal tibial fractures has become a challenge for the orthopaedic surgeons. Methods: During the study period 31 patients were treated with locking compression plate on lateral side through anterolateral approach for varying types of tibial plateau fractures. Out of 31, 28 patients were available at nal follow up. The functional and radiological outcome assessed with Rasmussen scoring system. At the end of study stability of the knee joint assessed with standard stability tests. Results: Most of the patients were sustained injury following major road trafc accidents and most of them were males. At nal follow up the functional outcome was excellent in 65 % of patients and good to fair in 35% of patients. No patient had poor functional outcome, though 10% of patients had poor radiological outcome. At the end of study 3 patients had posterior laxity, 2 patients had lateral meniscal injury and 4 patients had varus laxity. Conclusion: The functional outcome of tibial plateau fractures treated with single lateral locking compression plate was satisfactory in all our patients. All patients had acceptable clinical outcome though few patients had poor radiological outcome. We found 32% of patients with instability at the end of our study

scholarly journals Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Lower Extremities

2007 ◽  
Vol 56 (2) ◽  
pp. 202-206
Author(s):  
Akihisa Yamashita ◽  
Kenzo Shirasawa ◽  
Hidehiko Kido ◽  
Manabu Irie ◽  
Junya Ogata ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Lower Extremities ◽  
Locking Compression Plate ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Compression Plate

scholarly journals Distal tibial fracture treated by minimally invasive plate osteosynthesis after external fixation Retrospective clinical and radiographic assessment

2014 ◽  
Vol 20 (1) ◽  
pp. 44-49
Author(s):  
Șerban Al. ◽  
Obadă B. ◽  
Turcu R. ◽  
Anderlik St. ◽  
Botnaru V.
Keyword(s):  
Internal Fixation ◽  
External Fixation ◽  
Ankle Joint ◽  
Plate Osteosynthesis ◽  
Weight Bearing ◽  
Distal Tibia ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Surgical Trauma ◽  
Distal Tibial Fractures

ABSTRACT Fractures of the horizontal surface of the distal tibia are known commonly as pylon or plafond fractures, and represent 1-5% of lower extremity fractures, 7-10% of all tibial fractures. The protocol consisted of immediate (within eight to 24 hours) open reduction and internal fixation of the fibula, using a fibular plate or one third tubular plate and application of an external fixator spanning the ankle joint. In the second stage, the treatment of proximal and distal tibial fractures with close reduction and MIPPO technique can preserve soft tissue, simplify operative procedure and decrease wound, obtain rigid internal fixation and guarantee early function exercises of ankle joint. In this study we evaluated 22 patients treated in Clinical Emergency Hospital Constanta between April 2012 - July 2013 diagnosed with multifragmentary fractures of the distal tibia. This study evaluates the treatment of complex fractures of distal tibia with locked plate after external fixation. There were 17 males and 5 females of mean age 51,7 years (31-68). The mean follow-up period was 14 weeks. (Ranging from 9-16 weeks). All patients were fully weight bearing at 16 weeks (ranging 9-16 weeks) showing radiological union. There were no cases of failures of fixation, or rotational misalignment. No significant complication was observed in our patients. MIPO is an effective method of treatment for distal tibial fractures, reduce surgical trauma and maintain a more biologically favorable environment for fracture healing, reducing risks of infection and nonunion.

Minimally Invasive Plate Osteosynthesis for Comminuted Fractures of the Metaphysis of the Radius

2005 ◽  
Vol 30 (2) ◽  
pp. 220-225 ◽  
Author(s):  
J. IMATANI ◽  
T. NODA ◽  
Y. MORITO ◽  
T. SATO ◽  
H. HASHIZUME ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Locking Compression Plate ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Pronator Quadratus ◽  
Radial Inclination ◽  
Loss Of Reduction ◽  
Compression Plate ◽  
Comminuted Fractures

Five comminuted and displaced fractures of the distal metaphysis of the radius were treated by a technique of minimally invasive plate osteosynthesis (MIPO) with the aim of minimizing soft tissue damage and devascularization of the fracture fragments. This technique used the small AO T-shaped locking compression plate (AO LCP T-plate) and left the pronator quadratus intact. Radial inclination, palmar tilt, and ulnar variance were restored without loss of reduction in all five cases and the fractures healed at an average of 10 weeks, with good to excellent clinical outcomes.

Sign in / Sign up

Export Citation Format

Share Document