Study of surgical management of proximal tibial fractures using locking compression plate

Reddy, J.Praneeth Kumar; Nazeer, Bushra; Arun, H S; Kumar, Narendra

doi:10.7439/ijbar.v7i3.3030

Cited by 9 publications

(20 citation statements)

References 11 publications

(6 reference statements)

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“…In the Indian scenario, a study by Prakash and Basanthi [30], Naik and Gunnaiah [31], and Muralidhar et al [32] shown similar results as ours. Demographic profile reported in the study by Reddy et al [2] was similar to our study; road traffic accident (76.7%) was the common cause while fall was the other cause. Fractures of middle third (46.6%) were the most common followed by the distal third (36.6%) and proximal third.…”

Section: Discussionsupporting

confidence: 89%

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Surgical Management of Fracture Both Bones Forearm With Locking Compression Plate in Adult Patients

Vem

Challa

2019

Asian J Pharm Clin Res

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Objective: The objective of this study was to assess the time taken for surgery, tourniquet time, and clinical outcome in diaphyseal fractures of both forearms managed with locking compression plate (LCP). Methods: Patients underwent open reduction and internal fixation with 3.5-mm LCP. Proximal radius was approached by dorsal Thompson incision and middle and distal radius by volar henry approach. A minimum of 6 cortices were engaged with screw fixation in each fragment. Ulna was approached directly over the subcutaneous border. Results: Of 20 patients, 70% were men; fracture was the most common in second and third decades of life. Road traffic accident (50%) and fall (40%) were the main causes. Fractures at mid-diaphysis (70%) and transverse/short oblique (72.5%) were the most common. Closed head injury, unilateral pubic bone fracture, olecranon fracture, fracture of both bones of leg, and ipsilateral fracture shaft humerus were the associated injuries. There was no intraoperative complication. Superficial infection (n=01) and transient posterior interosseous nerve injury, in the immediate postoperative period (n=01), were the reported complications. Average time for surgery was 77 min (60–90 min) and that for tourniquet was 54 min (40–60 min). All had complete union in <6 months; 80% had healing in <4 months. 20% healed in 4–6 months. Excellent and satisfactory results were seen in 85% and 15% patients, respectively. Conclusion: The 3.5-mm LCP, when applied properly, yields excellent outcome in fractures of forearm bones. The use of tourniquet, separate incisions for radius and ulna, and preservation of the natural curves of radius will reduce complications. Clinical outcome in terms of healing and union is excellent.

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Section: Discussionsupporting

confidence: 89%

“…In addition, providing stability at the fracture site is also an added advantage, a disappointing factor with other techniques. Reddy et al [2] reported that the use of LCP in forearm fractures is an ideal procedure as stable fixation along with early union is ensured.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Fracture Both Bones Forearm With Locking Compression Plate in Adult Patients

Vem

Challa

2019

Asian J Pharm Clin Res

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“…Reddy et al reported an excellent result in 86.7% of the cases and 13.3% had good results, while in a study by Rohra et al, 85.29% of the patients had excellent and 14.71% had good results. 23 Simialr results were observed by Yu et al, Prasad et al, Zhang et al, Oh et al [25][26][27][28] …”

Section: Discussionmentioning

confidence: 78%

Outcome of treatment of proximal tibial plateau fractures by minimally invasive percutaneous plating osteosynthesis technique

et al. 2016

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Background: Fractures of the proximal tibia are accompanied by a wide range of severity which may include stable undisplaced fractures with minimal soft tissue injury to highly comminuted unstable fractures, and severe soft tissue involvement. With the better understanding of fracture healing biology and biomechanics of fracture fixation and healing, the trend of treatment is towards biological fixation, which can be accomplished by Minimally Invasive Percutaneous Plating Osteosynthesis (MIPPO) technique.Methods: Demographic data of patients were recorded on admission and thorough history and clinical examination was done. The fractures were assessed for soft tissue injuries and followed by radiological assessment of fracture with schatzkers classification. The surgeries included anterolateral and anteromedial approaches for all patients with ‘inverted hockey stick incision’ and were treated with MIPPO. They were regularly followed up at 6-8 weeks interval till complete fracture union. A clinical and radiological evaluation was carried out using the modified Rasmussen clinical and radiological criteria.Results: Out of the 20 patients treated, most of them were males and belonged to the age group of 20-40 years (75%). Unilateral fractures were more common than bilateral fractures and were of the type 4 and type 5 of Schatzkers classification which was usually associated with high velocity RTA. One patient each had infection, varus deformity and knee joint stiffness. 10 fractures gave excellent result, 7 fractures healed with good results. Only 2 of the patients showed fair results and 1 had poor result. Conclusions: All the fractures treated with MIPPO technique was found to be rapidly healing by secondary fracture union and hence achieving strong bone union across the fracture site due to inherent benefits of less tissue damage and minimal disturbance of fracture site biology.

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“…Reddy et al reported an excellent result in 86.7% of the cases and 13.3% had good results, while in a study by Rohra et al 85.29% of the patients had excellent and 14.71% had good results. 16 Simialr results were observed by Yu et al, Prasad et al, Zhang et al and Oh et al [17][18][19][20][21]…”

Section: Complicationmentioning

confidence: 76%

Functional Outcome of Plating in Proximal Tibia Fractures Using Minimally Invasive Percutaneous Plate Osteosynthesis

Verma¹,

Ahlawat²,

Meena³

et al. 2017

jemds

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BACKGROUND Management of proximal tibial fractures has always been controversial. The main aim in management of such fractures is to achieve articular congruity, proper limb alignment and proper joint mobility besides achieving union. ORIF using either single or dual plates has been in vogue for long time with good outcomes. But these are associated with problems, especially overlying skin conditions, delayed recovery and rehabilitation with limited functional outcome. To overcome these problems, MIPPO technique has been devised which is based on principle of indirect reduction without opening the fracture site. It involves lesser incision, lesser soft tissue dissection with lesser complications and better functional outcomes. MATERIALS AND METHODS The present study was carried out on the patients admitted in orthopaedic ward of Shyam Shah Medical College and associated Sanjay Gandhi Memorial Hospital, Rewa (M.P.) during the 2-year period from October 2013 to September 2015. The fractures were assessed for soft tissue injuries and followed by radiological assessment of fracture with Schatzker's classification. All patients included in the study group were given an "inverted hockey stick incision" followed by MIPPO. All patients were followed up regularly at an average of 6-8 weeks till fracture union was complete. A clinical and radiological evaluation was carried out using the modified Rasmussen clinical and radiological criteria. RESULTS Out of the 40 patients treated, most of them were males and belonged to the age group of 20-40 years (75%). Unilateral fractures were more common than bilateral fractures and were of the type 3 and type 4 of Schatzker's classification associated with high velocity RTA. Infection, implant failure and non-union were reported in 3 patients one in each; 23 fractures gave excellent result; 12 fractures healed with good results. Only 3 of the patients showed fair results and 2 had poor result. CONCLUSION All the fractures treated with MIPPO technique were found to be rapidly healing by secondary fracture union and hence achieving strong bone union across the fracture site due to inherent benefits of less tissue damage and minimal disturbance of fracture site biology.

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Study of surgical management of proximal tibial fractures using locking compression plate

Cited by 9 publications

References 11 publications

Surgical Management of Fracture Both Bones Forearm With Locking Compression Plate in Adult Patients

Surgical Management of Fracture Both Bones Forearm With Locking Compression Plate in Adult Patients

Outcome of treatment of proximal tibial plateau fractures by minimally invasive percutaneous plating osteosynthesis technique

Functional Outcome of Plating in Proximal Tibia Fractures Using Minimally Invasive Percutaneous Plate Osteosynthesis

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