Outcome Of Locking Compression Plate In Treatment Of Tibial Plateau Fracture

  • Dr Jati S Senior Resident, Department of Orthopaedics, All India Institute of Medical Science, Bhopal
  • Dr Champawat VS Shri Aurobindo Medical College, Indore
DOI: https://doi.org/10.5281/zenodo.3969872
Keywords: Tibial Plateau fracture, Locking Compression Plate, Proximal Tibia Fracture

Abstract

Background: Modern locking plating systems, providing increased angular stability, low implant profile, improved design matching the periarticular bone surface, as well as compatible with the minimal invasive techniques. Thus we performed this prospective study to evaluate the functional and radiological outcome of management of tibial plateau fractures using locking compression plate.

Material & Methods: 30 patients of tibial plateau fractures were surgically managed using locking compression plate and were evaluated by Rasmussen criteria, clinically and radiological for union.

Results: Average age was 46.13 years and average fracture union time was 13.62 weeks. All patients had excellent (53.3%) to good (46.7%) results with none of the patients having poor or fair results. Average Rasmussen Clinical Score was 27.56. Three and one patients had articular depression and increased condylar width respectively, but both the depression and increase in width was less than 5 mm.

Conclusion: Locking plate in treatment of tibial plateau fractures ensures stable fixation with maintained reduction, thereby providing early rehabilitation and good functional outcome however, injury severity continues to represent the decisive predictor for outcome.

Downloads

Download data is not yet available.

References

1. Lansinger O, Bergman B, Korner L et al. Tibial condylar fractures. A twenty-year follow-up. J Bone Joint Surg Am. 1986;68:13–19.

2. Krettek C, Gerich T, Miclau T. A minimally invasive medial approach for proximal tibial fractures. Injury 2001;32(Suppl. 1):SA4–13.

3. Watson JT. High energy fractures of the tibial plateau. Orthop Clin North Am. 1994; 25: 728-52.

4. Watson JT. Use of locking plates for tibial plateau fractures. Tech Orthop. 2007; 22(4): 219-26.

5. Egol KA, Kubiak EN, Fulkerson E, Kummer FJ, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma. 2004; 18: 488-93.

6. Higgins TF, Klatt J, Bachus KN. Biomechanical analysis of bicondylar tibial plateau fixation: how does lateral locking plate fixation compare to dual plate fixation? J Orthop Trauma. 2007; 21: 301-6.

7. P Phisitkul, Mckinley OT, Nepola JV, Marsh JL. Complications of Locking Plate Fixation in Complex Proximal Tibia Injuries. J Orthop Trauma 2007;21:83–91.
Published
2019-12-31
CITATION
DOI: 10.5281/zenodo.3969872
Published: 2019-12-31
How to Cite
1.
Dr Jati S, Dr Champawat VS. Outcome Of Locking Compression Plate In Treatment Of Tibial Plateau Fracture. ojmpc [Internet]. 2019Dec.31 [cited 2024Apr.19];25(2):59-2. Available from: https://ojmpc.com/index.php/ojmpc/article/view/84
Issue
Vol 25 No 2 (2019): JUL-DEC
Section
Original Article

The entire contents of the Orthopaedic Journal of Madhya Pradesh Chapter are protected under Indian and International copyrights. Orthopaedic Journal of Madhya Pradesh Chapter allow authors to retain the copyrights of their papers without restrictions, Authors grant the publisher the right of exclusive publication. The Journal then grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship. The journal also grants the right to make numbers of printed copies for their personal non-commercial use under Creative Commons Attribution-Non-commercial share alike 4.0 International Public License.

Most read articles by the same author(s)