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Volume 12 Issue 2 ( April- June) 2023

Original Articles

Study to evaluate functional and radiological outcome of proximal tibia fracture treated with locking compression plate
Dr. Shubham Upadhyay, Dr. Vibhas Gupta, Dr. Naman Sahu, Dr. Zoeb Khan Faridi, Dr. Rahul Argal

Background: Proximal tibial fractures are one of the commonest intraarticular fractures resulting from direct axial or indirect coronal compression forces. Fractures of proximal tibia are common& serious injuries which are difficult totreat because of its subcutaneous location of the anteromedial surface of the tibia.If it’s not treated it may result in significant functional impairment. The aim of surgicaltreatment of proximal tibial fracture is to restore and preserve normal kneefunctions which can be accomplished by anatomical restoration of articular surfaces,maintaining mechanical axis, restoring ligament stabilityand preserving functionalpain free range of motion of knee. Materia and Methods: This study is a prospective observational study done at department of Orthopedics, Chirayu medical college and Hospitals, Bhopal between January 2021 to June 2022, where 96 patients of proximal tibia fractures (Schatzker’s type 1-6) were treated using locking compression plates and there functional outcome were assessed using knee society score and radiological outcome were assessed using sequential X-rays at 1,3 and 6 month follow up. Results: There were more males affected than females and the mean age of male patients was 43.63 years and that of females was 46.58 years. The incidence was more on right side and patients were treated using Bi-columner plate. LCP and LCP + CC screws. The mean duration of union was 19.79 weeks. Functional outcome was assessed using knee society score. 57 patients had excellent knee society score, 22 patients had good score, 10 patients had fair score and 7 patients had poor score.The mean knee society score was 81.37 which shows the functional outcome were excellent. Conclusion: A proximal tibial fracture should be treated in a way that balances soft-tissue treatment with fracture reduction and alignment.Tibial plates work well to treat intra-articular extension fractures and are particularly helpful when the soft tissue milieu around the proximal tibia is conducive to dissection.Bone grafting is not required for defects in the metaphyseal region, even in osteoporotic bone, thanks to the LCP internal fixator system, which functions as a single implant and prevents intraoperative and postoperative fracture collapse.

 
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