Abstract: Introduction: Fractures of proximal tibia are common & serious injuries involving major weight bearing joint surface of the knee. These are difficult to treat because of its subcutaneous location of the anteromedial surface of the tibia. The aim of surgical treatment of proximal tibial fractures is to restore and preserve normal knee function. The incidence of malunion, non-union and infections are relatively high causing significant long term disability. Recently more attention has been paid to the condition of soft tissue envelope. Treatment of these injuries using minimally invasive percutaneous plate osteosynthesis (MIPPO) techniques minimize soft tissue injury and damage to vascular integrity of fracture fragments. Locking compression plate has added advantage of the ability to manipulate and reduce the small and often osteoporotic fracture fragments directly. This coupled with biological advantage of percutaneous insertion of plates has resulted in high union rate. We present our series of cases to evaluate the radiological and functional outcome of locking plates in proximal tibial fractures.
Material & Methods: This study was a hospital based prospective study centred in department of orthopaedics, 25 patients with proximal tibia fractures were treated with locking compression plate (LCP).
Results: Assessment of clinical outcome was made according modified Hohl and Luck evaluation method, end results showed out of 25 cases, 18 (72%) cases showed excellent results, 5(20%)showed good results, 2 (8%) fair
Conclusion: It was concluded that locking compression plate offer a good treatment option for proximal tibia fractures achieving excellent results with almost full range of movements and with no residual disability.
