Abstract Issue

Volume 13 Issue 6 (June) 2024

Original Articles

Study of surgical management of distal 1/3rd extra articular tibia fracture with locking compression plate a prospective study
Dr. Srujith Kommera, Dr. Atif Baig, Dr. Pradeep Kumar Reddy, Dr. Farhaan Mohammed Nasar

Objective: To study the advantages of locking compression plate in management of distal tibia extra articular fracture and to study its complications. Methods: This prospective study was carried out in the Department of Orthopaedics in Shadan Institute of Medical Sciences, Teaching Hospital and Research Centre, Hyderabad, Telangana November 2022 to November 2023. Patient selection was based on Inclusion and Exclusion criteria. 25 Patients with Distal 1/3rd Extra Articular Tibia Fracture were treated with Locking Compression Plating. The patient was placed in supine position with support on greater trochanter to maintain neutral position. Fracture is primarily reduced by manual traction and pointed reduction forceps. Approach used is Direct Anterior and Anteromedial and Anterolateral. Plate is temporarily is fixed by k-wires followed by screw fixation after confirming fracture reduction using image intensifier. Post-Surgery physiotherapy was started as early as possible. Functional outcome was evaluated using Oleaur and Mollander scoring system. Results: All 25 patients were available for follow-up every 6weeks. Results were analyzed both clinically and radiologically. All fractures united with an average of 16-18weeks. There were 4 cases of delayed union with 21-23 weeks of radiological callus formation and 2 Patient developed superficial wound infection which resolved subsequently with use of antibiotics. Overall outcome of this study was fair and excellent. Conclusion: This study has yielded excellent results and shows that Locking Compression Plating (LCP) is an excellent technique for management of Extra Articular Distal 1/3rd Tibia Fracture as it promotes early fracture union

 
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