Comparative Study Of Fixation Of Tibia Plateau Fractures By Nonlocking Buttress Versus Locking Compression Plate
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background: Tibia plateau fracture is a major cause of severe morbidity in patients with lower extremity injuries. Aims: To compare the results of treatment of proximal tibial fractures with conventional nonlocking buttress plates (BP group) and locking compression plates (LCP group). Study design: Prospective study Materials and methods: This prospective study was carried out at Orthopaedics department of School of Medical Sciences and Research, Sharda University from December 2010 to December 2014. The study was conducted on 170 patients with tibial plateau fractures who were assigned to two different treatment protocol, conventional nonlocking buttress plate group (60 patients) or locking compression plate group (60 patients). 50 patients were treated with cannulated cancellous screw. Clinical and functional outcomes were assessed using the Knee Society score. All patients were followed for twelve months. Results: All fractures united in average 3.2 months (range 7-19 weeks) in both the groups. The results were excellent in 81.66% (49/60) patients, good in 5% (3/60) in locking compression plate group, In buttress group, the results were excellent in 78.33% (47/60) patients, good in 6.66% (4/60) patients at final follow-up. At final follow-up, LCP group had knee stiffness (3 cases), infection (4 cases) and non-union (2 cases) and buttress group had knee stiffness (4 cases), infection (6 cases) and non-union (3 cases). Conclusion: This study showed superiority of the locking plate over nonlocking plate procedure with regard to knee score as well as union timing.
Authors and Affiliations
Ramji Lal Sahu, Rajni Ranjan
Keywords
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