scholarly journals To study surgical management of proximal tibia fractures by locking compression plate

2020 ◽  
Vol 6 (1) ◽  
pp. 63-68
Author(s):  
Dr. Raghavendra B ◽  
Dr. Sahithya
Keyword(s):  
Surgical Management ◽  
Proximal Tibia ◽  
Locking Compression Plate ◽  
Compression Plate ◽  
Tibia Fractures ◽  
Proximal Tibia Fractures

scholarly journals Evaluation of the functional outcome of locking compression plate for fractures around knee joint distal 1/3rd femur or proximal 1/3rd tibia

2021 ◽  
Vol 7 (2) ◽  
pp. 357
Author(s):  
Surender Kumar ◽  
Himanshu Khichar
Keyword(s):  
Functional Outcome ◽  
Distal Femur ◽  
Proximal Tibia ◽  
Femur Fracture ◽  
Locking Compression Plate ◽  
Tibia Fracture ◽  
Proximal Tibia Fracture ◽  
Compression Plate ◽  
Tibia Fractures ◽  
Proximal Tibia Fractures

<p><strong>Background:</strong> The aim of the study was to evaluate the functional outcome of locking compression plate for fractures around knee joint (Distal 1/3<sup>rd</sup> femur or proximal 1/3<sup>rd</sup> tibia).</p><p><strong>Methods:</strong> This multicentric prospective functional out-come study has been conducted in the department of orthopedics, Barmer medical college and hospital, Barmer, Rajasthan and department of orthopedics, Pacific institute of medical sciences, Udaipur, Rajasthan. A total of 90 patients were studied, out of which 60 patients were with fracture distal femur and 30 patients were with proximal tibia fractures. At the end of study, 20 patients were lost to the follow-up (16 patients were with distal femur fracture and 04 patients were with proximal tibia fracture).</p><p><strong>Results:</strong> According to modified Mehrotra’s criteria for distal femur fracture  excellent (43.18%) and fair (43.18%) and (13.64%) had poor result. All followed-up patients of proximal tibia fracture managed with MIPO technique had excellent (11.11%), good (66.67%) and fair (22.22%) functional outcome and no failure. While 17.65% followed patients of proximal tibia fracture who were managed with ORIF technique had failure.</p><p><strong>Conclusions:</strong> Locking compression plate is the optimal tool for many supracondylar fractures of femur and proximal tibia fractures. It provides rigid fixation, where a widening canal, thin cortices and frequently poor bone stock make fixation difficult.</p>

scholarly journals Outcome of Biological Plating of Extra-articular Proximal Tibia Fractures

2021 ◽  
Author(s):  
Faisal S Mohammed ◽  
Akshay Babarao Ingale
Keyword(s):  
Lower Extremity ◽  
Proximal Tibia ◽  
Locking Compression Plate ◽  
Functional Score ◽  
P Value ◽  
Fracture Type ◽  
Biological Fixation ◽  
Significant Difference ◽  
Tibia Fractures ◽  
Proximal Tibia Fractures

Introduction: The most prominent transformation in the treatment of fractures has been modified from intensive open reduction and internal fixation with absolute stability to the biological fixation with relative stability and secondary healing with callus formation, with priority on preservation of the vascularity of bone and soft tissue to improve fracture healing. Aim: To evaluate the outcome of biological fixation of extra-articular proximal tibia fractures in adults using the locking compression plate. Materials and Methods: The present prospective longitudinal study was conducted at Government Medical College and Hospital, Nagpur, which included 30 patients who had extra- articular proximal tibia fractures belonging to AO type 41A2 and 41A3 treated by proximal tibia lateral locking plate 4.5/5.0 mm. The patients were followed-up at two weeks, six weeks, three months, six months and one year. The fracture union, coronal, sagittal alignment was assessed radiologically at the end of follow-up. Functionally the outcome was evaluated using lower extremity functional score. Descriptive statistics were used for statistical analysis. Results: Biological plating with locking compression plate has shown promising results both in terms of function and radiology. There was non-significant difference in lower extremity functional score between patients with malunion and normal alignment. Mean union time was 19.93 weeks with a standard deviation of 2.21 weeks. There was non-significant difference between the range of motion and fracture type (p-value 0.38) as well as that between Lower Extremity Functional Score (LEFS) and fracture type (p-value 0.0501). On functional evaluation of patients treated with biological plating, there was statistical significance in Knee Range of Motion (ROM) for the patients between malunion and normal alignment (p value 0.01). Conclusion: The biological fixation using minimally invasive techniques is an effective method of stabilisation for extra-articular proximal tibia fracture, yielding good mechanical alignment and protecting soft tissues and blood supply, leading to higher union rates with good functional outcome.

scholarly journals TO EVALUATE THE FUNCTIONAL OUTCOME OF LOCKING COMPRESSION PLATE FOR FRACTURES AROUND KNEE JOINT(DISTAL 1/3RD FEMUR OR PROXIMAL 1/3RD TIBIA)

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Sawai Singh ◽  
Raghuveer Meena
Keyword(s):  
Knee Joint ◽  
Functional Outcome ◽  
Locking Plate ◽  
Locking Compression Plate ◽  
Rigid Fixation ◽  
Supracondylar Fractures ◽  
Compression Plate ◽  
Tibia Fractures ◽  
Proximal Tibia Fractures ◽  
Keywords Femur

Background: To evaluate the functional outcome of locking compression  plate for fractures around knee joint (Distal 1/3rd femur or proximal 1/3rd tibia) Methods: This prospective functional out-come study has been conducted on This prospective study has been conducted on 50 patients with Distal 1/3rd femur and 50 patients with  proximal 1/3rd tibia Results: According to Modified Mehrotra’s Criteria, the excellent (44.00%) and fair (42.00%) and (14.00%) had poor result Conclusion: Locking compression plate is the optimal tool for many supracondylar fractures of femur and proximal tibia fractures. It provides rigid fixation, where a widening canal, thin cortices and frequently poor bone stock make fixation difficult. Keywords: Femur, Tibia, Locking plate, MIPO, Outcome.

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