A study of Locking compression plate as external fixator in the definitive management of open diaphyseal fractures of tibia in adults
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: Locking compression plate as an external fixator for the definitive management of open fracture of tibia decreases both cost and trauma to the soft tissue. Though LCP is mechanically less rigid construct compared to conventional external fixators, it is clinically stable enough to maintain the reduction. LCP is light weight, comfortable and convenient for patients in daily life activities. The aim of this study is to evaluate the results of locking compression plate used as an external fixator for the definitive management of open fracture of tibial diaphysis in 35 patients. Methodology: 35 patients with compound fracture (Type I to Type IIIA) of tibial diaphysis underwent supracutaneous plating of the tibia using LCP. Average age was 42 year. Patients were followed up for a period of 1 year. Results: Mean healing time was 18.42 weeks. Out of the 35 cases, 2 cases healed with delayed union, and no case was observed to have non union. At the final follow up all patients were fully weight bearing with infection free healed wounds. Conclusion: LCP as external fixator in the compound tibial diaphyseal fractures are very well tolerated by the patients and addresses the challenging problems of compound wound healing, non-union, and infection with a good union rate.
Authors and Affiliations
Dr. Shrinivas Prabhu, Dr. Binayak Ray
Keywords
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- EP ID EP451036
- DOI 10.9790/0853-1801020713.
- Views 73
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