Study of Functional Outcome of Intra-articular Proximal Third Tibia Fractures Treated with Locking Compression Plate
Journal of Clinical Orthopaedics | Vol 9 | Issue 2 | July-December 2024 | page: 88-94 | Adnan Asif, Saurabh Harikant Yadav, P Gokula Kumar, Pawar Bhushan Kumar Bhajandas, Atul Jain, Lalit C Panchal
DOI: https://doi.org/10.13107/jcorth.2024.v09i02.678
Submitted Date: 13 Jul 2024, Review Date: 19 Aug 2024, Accepted Date: 16 Sep 2024 & Published Date: 10 Dec 2024
Author: Adnan Asif [1], Saurabh Harikant Yadav [1], P Gokula Kumar [1], Pawar Bhushan Kumar Bhajandas [2], Atul Jain [3], Lalit C Panchal [1]
[1] Department of Orthopaedics, K B Bhabha Municipal General Hospital, Mumbai, Maharashtra, India,
[2] Department of Orthopaedics, Chhatrapati Shivaji Maharaj Hospital and Rajiv Gandhi Medical College, Thane, Maharashtra, India,
[3] Department of Orthopaedics, Swami Dayanand Hospital, New Delhi, India
Address of Correspondence
Adnan Asif,
K B Bhabha Municipal General Hospital, Maharashtra, Mumbai, India.
E-mail: adnan.asif1092@gmail.com
Abstract
Background: The study aimed to provide an estimate of the functional outcome following the use of locking compression plate (LCP) in the management of intra-articular proximal third tibia fractures. Materials and Methods: A prospective cohort study was carried out on 30 intra-articular proximal third tibia fractures which were operated with LCP fixation between August 2020 and July 2021. Primary outcome measurement was carried out using Rasmussen’s functional knee grading criteria. Results: Functional outcome assessed by Rasmussen’s functional knee grading criteria showed Excellent results in 16/30 (53.33%) of patients, good result in 9/30 (30%) of patients (overall 83.33% acceptable results), and fair in 4/30 (13.33%) and poor result in 1/30 (3.33%) of patients. Post-operative complications occurred in eight out of 30 of our patients (26.67%). Open reduction and internal fixation was more commonly used (76.67%) as compared to minimally invasive percutaneous plate osteosynthesis (23.33%). We commonly applied a combined principle of fixation (bridging + compression) across 46.67% of our fracture fixations. Primary surgical approach used was almost equal across our study between medial/posteromedial (53.33%) and anterolateral (46.67%).
Conclusion: We conclude that the LCP system with its various type of fixation act as a good biological fixation including difficult fracture situations. However, this also involves the risk that may occur unless properly planned preoperatively and follow guided principles intraoperatively.
Keywords: Proximal tibia, locking compression plate, Rasmussen functional knee grading criteria.
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| How to Cite this article: Asif A, Yadav SH, Kumar PG, Bhajandas PBK, Jain A, Panchal LC. Study of Functional Outcome of Intra-articular Proximal Third Tibia Fractures Treated with Locking Compression Plate. Journal of Clinical Orthopaedics 2024:July-December:9(2)88-94. |
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