Abstract: Introduction Proximal Tibial meta-diaphyseal fractures are challenging injuries because of subcutaneous anteromedial surface of bone and frequent soft tissue complications. Good management requires stable fixation with minimal soft tissue handling. Locking compression plate (LCP) applied as an external fixator fulfills these criteria and can be an important tool in the armamentarium of an orthopaedic surgeon.
Aim: To study the clinical, functional and radiological outcome of comminuted fractures of metaphysis and diaphysis proximal tibia treated by stainless steel bridging plate in skeletally mature patients.
Materials and Methods: This was a prospective study conducted from August 2013 to August 2020 at the Gajra Raja Medical college Gwalior with a 6month follow-up in skeletally mature patients with post-traumatic comminuted fractures of metaphysis and diaphysis of proximal tibia fractures were included. Patient were evaluated retrospectively interms of union, maintenance of reduction, complications and final outcome using KSS (Knee society scoring) for proximal fractures.
Results: Following all principles of fracture reduction, union was achieved in all patients with mean time to radiological union being 20 weeks. The mean Range of Motion (ROM) was 106 degrees with According to KSS results were excellent in 28 patients (41%), good in 26 (38%), fair in 15(21%) 6 patients developed complications in the form of infection during the course of our study, but were completely treated by the end of the study.
Conclusion: We found this technique to be more biological, simple to do surgery, effective in maintaining reduction till union, more patient friendly in comparison to traditional large, bulkyfixators and with minimal complications.
