Study of surgical management of proximal tibial fractures using anatomical proximal tibia locking compression plate

Abstract

Background: Treatment of these proximal tibia fractures using minimally invasive percutaneous plate osteosynthesis (MIPPO) techniques may minimize soft tissue injuries and damage to vascular integrity of fracture fragments. Methods: This study was a hospital based prospective study centred in department of orthopaedics at GSL Medical College Rajahmundry, from December 2017 to May 2019 in which 20 patients with proximal tibia fractures. These patients were treated with locking compression plate (LCP). Results: The assessment of clinical outcome was made according to Rasmussen’s functional grading system. End results showed excellent outcome and out of 20 patients, 19 Patients (85%) showed radiological UNION Conclusion: Surgical management of proximal tibial fractures will give excellent anatomical reduction and rigid fixation to restore articular congruity, help to facilitate early mobilization and reducing post-traumatic osteoarthritis and hence to achieve optimal knee function. LCP remains a good choice in comminuted or more severe patterns of fractures.

Keywords

• proximal tibia fractures
• locking compression plate
• minimally invasive percutaneous plate osteosynthesis
• intra-articular fractures.