Should locking compression plate be an implant of choice to fix the fractures of proximal tibia?: A prospective case stud

Author(s): Dr. Vipin Gupta, Dr. Pathan Rameezahmedkhan R, Dr. Smit Vadher and Dr. Krunal Shah

Abstract: We prospectively studied a case series of 30 patients with Proximal tibia fracture after surgically fixing the fracture using Locking Compression plate either by as less invasive stabilization system (MIPPO) or by open plating(ORIF). The functional outcome in terms of time to clinical and radiological union, range of movements and complications were studied. Young males were more prone owing to high energy road traffic accidents, the most common cause. The mean time to union was 19.6 weeks (4.6 months). The overall knee range of motion averaged 134 deg. (range 30-150 deg.) at the latest follow up. Deep infection occurred in 3 cases (all with ORIF technique); stiffness and restriction of movements < 90 deg. was seen in 2 and screw breakdown occurred in 1 case. Minor complications like extensor lag and superior tibiofibular subluxation in 1 case each. Majority of the complications occurred in A.O. types B3 and C3 fractures reflecting the severe nature of these types of injuries. Based on Rasmussen’s functional criteria, excellent results were seen in 14 cases (46.66%), good in 15 cases (50%), fair in 1 case (3.33%) with no poor result.

DOI: https://doi.org/10.22271/ortho.2018.v4.i4f.55