Locked Compression Plating for Peri‐ and Intra‐articular Fractures Around the Knee

Jain, Jitesh; Asif, Naiyer; Ahmad, Shafi; Qureshi, Owais A; Siddiqui, Yasir Salam; Rana, Ashish

doi:10.1111/os.12069

Cited by 11 publications

(10 citation statements)

References 26 publications

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“…In a study by Shiva Naik et al 12 they showed that locking compression plate is an important armamentarium in treatment of fractures around knee especially when fracture is severely comminuted and in situation of osteoporosis. Jain et al 13 showed that applied with proper understanding of biomechanics, LCP is one of the best available options for the management of challenging peri-and intra-articular fractures especially of proximal tibia. Patil et al 14 and co-workers in a study comparing the fixation of proximal tibial fractures by nonlocking buttress verus locking compression plate by has almost same results in both groups and concluded that considering its high cost, LP should be used, where it is more advantageous than conventional plate.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study of Clinical and Functional Outcome of Proximal Tibia Fractures Treated With Locking Compression Plates in Adults at a Tertiary Care Hospital

Panse¹,

Jadhav²,

Tiwari³

2019

jebmh

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BACKGROUNDMost of the tibial fractures are closed fractures accounting to all most three quarters (76.5%) of all tibial fractures. Surgery is accepted more and more as primary treatment for proximal tibia fractures as studies have shown that operative treatment results in lower rate of fracture non-union, symptomatic malunion than conservative management. Incidence of high energy proximal tibia fracture is increasing and may contribute to these findings because, increased initial fracture displacement, shortening, comminution have been predictive of mal-union and poor patient outcome with non-operative care. Open reduction & locking compression plating thus may be better options for displaced proximal tibia fracture. The objective of the study is to evaluate the role of open reduction and internal fixation and to evaluate clinical and functional outcome of fracture of the proximal tibia treated with locking compression plates in adults with six months follow up. METHODSThe study was carried out during the period of April 2015 to March 2018 in the Department of Orthopaedics, Inlaks and Budhrani Hospital, Pune, (MH). Study includes 30 cases of proximal tibia fracture in the population aged between 18 years to 60 years, irrespective of sex, with fracture proximal tibial plate (amenable to open reduction, internal fixation with LCP with minimum of three screw in proximal and distal fragment). The clinical and radiological outcome was evaluated using Rasmussen's score and plain radiograph. Union was evaluated clinically and radiographically. Complications were recorded. RESULTSHighest number of patients were seen mainly in the age group of 40-50 years (10 patients, 33.33%). Out of 30 patients, 28 were male patients (93.33%). Most patients had fracture union in 18 weeks and 16 weeks with 9 patients in each group (30%). The mean duration for fracture healing was 16.14 weeks. CONCLUSIONSThis study showed clinically and radiologically satisfactory results. Overall operative treatment with locking compression plates can be used to obtain stable fixation and excellent outcome. HOW TO CITE THIS ARTICLE:Panse JB, Jadhav SS, Tiwari RR. A prospective study of clinical and functional outcome of proximal tibia fractures treated with locking compression plates in adults at a tertiary care hospital.

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Section: Discussionmentioning

confidence: 99%

A Prospective Study of Clinical and Functional Outcome of Proximal Tibia Fractures Treated With Locking Compression Plates in Adults at a Tertiary Care Hospital

Panse¹,

Jadhav²,

Tiwari³

2019

jebmh

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“…Śred ni wy nik ska li KSS w czę ści kli nicz nej w naszym ma te ria le wy niósł 77,59, a w czę ści funk cjo nalnej 71,91. W pi śmien nic twie wy ni ki czę ści kli nicznej ska li KSS są nie co lep sze i wa ha ją się w gra nicach 83 -88,8, a w czę ści funk cjo nal nej są po rów nywal ne 71 -77,77 [24,25,26].…”

Section: Discussionunclassified

“…According to the patients' medical records, 25 An der so na. W gru pie cho rych ze zła ma nia mi otwarty mi nie za no to wa no za ka żeń po ope ra cyj nych ani po wi kłań w go je niu zła ma nia.…”

Section: Methodsunclassified

Assessment of Outcomes of Treatment of Fractures of Distal Femur with a Locking Plate Taking into Account Factors Influencing the Result

Pakuła¹,

Kwiatkowski²,

Kuczmera³

et al. 2015

Ortop Traumatol Rehabil

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1. Subjective evaluation of treatment of fractures of the distal femur using the KOOS scale per form edworse than a clinical evaluation using the KSS. 2. Post-operative management should emphasise pain relief and restoration of the performance of the treated lower limb to ensure good mobility without crutches. 3. Despite the use of modern operational methods of fracture fixation, treatment of distal femur fractures is still a challenge.

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“…18,19 Jain et al stated that provided it is applied with proper understanding of biomechanics, LCP is one of the best available options for management of challenging peri-and intra-articular fractures of distal femur. 20 While EL-Ganainy et al concluded that minimally invasive percutaneous locked plating provided favourable results in the treatment of distal femoral fractures in geriatric population with diabetes. 21 Subasi et al stated that minimally invasive percutaneous plate fixation can be considered an alternative technique in type IIIA and type IIIB open fractures resulting from high-velocity gunshot injuries.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

“…Several reports are there showing outcome of different modes of fixation separately but very few studies are available which compare the outcome of all these mode of fixation all together to determine any protocol for further management of these distal femoral fractures. [20][21][22] The purpose of this study is to evaluate the results of fracture lower end of femur treated by closed reduction and internal fixation using LCP by MIPO technique and to compare it with open mode of fracture fixation.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

Comparative Study Regarding Functional and Radiological Outcomes of Different Modes of Fixation for Distal Femur Fracture

Jha¹,

Chatterjee²,

Pujari³

et al. 2020

jemds

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A B S T R A C T BACKGROUNDTreatment of distal femur fractures has recently evolved towards indirect reduction and minimally invasive techniques. The goal is to strike a balance between the mechanical stability of the fragments and the biological viability. Advent of MIPO technique has reduced the amount of soft tissue injury, delayed healing, tissue necrosis and infections. The objective was to compare the functional and radiological outcome of fracture distal femur treated by open reduction with LCP by minimally invasive plate osteosynthesis (MIPO). We wanted to compare the clinical and radiological differences between open and MIPO techniques for distal femoral fracture fixation. METHODSThis was a prospective interventional study. 41 subjects with closed supracondylar femur fracture treated surgically from March 2013 to December 2017, were evaluated prospectively for functional and radiological outcome results after fixation with distal femoral locking compression plate in open or minimally invasive way, with minimum follow up of 1 year. IBM SPSS Ver. 25 software was used to perform statistical analysis. RESULTSThe mean age of 41 treated patients was 53.8 ± 13.7 years and ranged from 23 to 84 years. 19 patients were females and 22 were males. Mean time to surgery was 5.7 ± 2.9 days with minimum 2 and maximum of 18 days from injury. Initially 20 patients underwent open surgery and 21 patients were operated by minimally invasive plating technique. In all cases, a 316L stainless steel alloy distal femoral locking plate was used. CONCLUSIONSKnee ROM could be started at a mean of 1.4 weeks earlier in the MIPO group and this was statistically significant. The two groups did not differ significantly in start of full weight bearing. Knee flexion at 6 weeks was also comparable in the two groups. However, knee flexion was average 21.9° higher in MIPO group at 1 year which was significantly different than ORIF group. The proportion of patients with >90° and >110° knee flexion also varied significantly between the groups. VAS score in MIPO group was significantly less at 6 weeks but difference was non-significant at 1 year. There were 2 cases with non-union and implant failure in the ORIF group, but the proportion was not significant. There was 10° FFD in 1 patient of ORIF group, while varus deformity occurred in 3 patients of MIPO group. The proportion of deformity was not significantly different between the two groups.

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Locked Compression Plating for Peri‐ and Intra‐articular Fractures Around the Knee

Abstract: Provided it is applied with proper understanding of biomechanics, LCP is one of the best available options for management of challenging peri- and intra-articular fractures.

Cited by 11 publications

References 26 publications

A Prospective Study of Clinical and Functional Outcome of Proximal Tibia Fractures Treated With Locking Compression Plates in Adults at a Tertiary Care Hospital

A Prospective Study of Clinical and Functional Outcome of Proximal Tibia Fractures Treated With Locking Compression Plates in Adults at a Tertiary Care Hospital

Assessment of Outcomes of Treatment of Fractures of Distal Femur with a Locking Plate Taking into Account Factors Influencing the Result

Comparative Study Regarding Functional and Radiological Outcomes of Different Modes of Fixation for Distal Femur Fracture

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