MANAGMENT OF PROXIMAL TIBIAL FRACTURE WITH LOCKING PLATE AT NMC, SASARAM, BIHAR

Dr. Brajesh Kumar, Dr. Kumar Anshuman, Dr. Debarshi Jana

Abstract


BACKGROUND: Management of Proximal tibia fractures is complex due to its proximity to joint, associated soft tissue complications.
Conventional methods of management of these fractures have their own shortcomings. Locking plates have been introduced which offer angle
stable fixation with minimal soft tissue compromise.
OBJECTIVES: To evaluate the results of locking plate system for proximal tibial fractures in with emphasis on functional outcome, soft tissue
complications, rate of infection and time to union.
METHODS: It's a retrospective study carried out at Orthopaedics Department of NMC, Sasaram, Bihar. Thirty patients with proximal tibia fractures
treated with locking plates were reviewed with a minimum one year follow up. The final outcome was assessed using the Rasmussen's score.
RESULTS: Median age of the patients was 36 years. The average time to union was 20 weeks. Rasmussen's score was good to excellent in 80% of
cases. Infection was seen in two cases and malunion in one case.
CONCLUSION: Surgical management of proximal tibial fractures with Locking plate give excellent anatomical reduction and rigid fixation to restore
articular congruity, help to facilitate early mobilization and reducing post-traumatic osteoarthritis and hence to achieve optimal knee function.


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