Original Articles
Study of clinical outcome of supracutaneous locking compression plate in compound fractures of distal third tibial meta-diaphyseal fractures as external fixator | |
Dr. Likith Kumar D, Dr. Vineeth Varma, Dr. Shreesha T, Dr. Mahidhara S.N | |
Supracutaneous plating using a locking compression plate (LCP) as an external fixator in compound periarticular areas of distal third tibia is facilitated by the development of anatomical plates. The soft tissue around the distal tibia is easily compromised by trauma and subsequent operative fracture treatment posing a definitive challenge in the distal tibia compound fractures. Twenty patients with compound distal third tibial meta-diaphyseal fractures were studied and followed up for a period of 12 months. All twenty patients were treated by supracutaneous LCP fixator and were regularly followed up for 12 months at regular intervals. All the fractures were consolidated at an average of 18 to 20 weeks and plate was removed by average of 20 weeks in all patients. All patients were fully weight bearing by mean duration of 16 weeks. Three patients developed screw tract infections and two developed superficial compound wound infection which resolved with oral and intra-venous antibiotics respectively. One patient developed malunion with anterior angulation, but still had a good functional outcome, this was due to incompliance with physiotherapy regimen. The functional outcome was assessed by AOFAS scoring system which showed a mean score of 84.55 with 7 (35%) excellent, 11 (55%) good, 1 (5%) fair, 1 (5%) poor result. |
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