Complications of lower third tibial fractures treated with locking compression plate
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: Distal tibial fractures represent a significant challenge to most of the orthopaedists even today. There has been an increasing trend towards use of a locking plate for treatment of complex fractures of the distal part of the tibia. The present study was conducted to evaluate clinical results and complications of lower third tibial fractures treated with locking compression plate. Material and Methods: A total of 30 Adult patients with fractures of lower third tibia admitted to department of Orthopaedics at a tertiary care hospital. They were treated with locking compression plate after obtaining informed written consent. Patients were followed up for clinical results and complications. Results: All the cases were followed for an average of 11 months with mean fracture healing time of 18.7 weeks. All fractures united well except one patient had delayed union which took 26 weeks. 83% patients had good to excellent results. Four (13%) patients developed superficial skin infection, 3 (10%) developed malleolar skin irritation, 2 (7%) developed ankle stiffness and 1 (3%) developed deep skin infection. Discussion: Locking compression plate for distal third tibia fractures is effective treatment modality offering early union, better functional outcome and fewer complications. Though superficial skin infection and implant prominence are most commonly encountered complications, they can be dealt easily.
Authors and Affiliations
Prashant Ghule, Vilas Musale, Shashikant Kukale
Comparative study of transdermal nitro-glycerine versus oral nefidipine with respect to mean prolongation of pregnancy in preterm labour
Background: Preterm labour is defined as the onset of labour after the age of viability (20-24weeks) and before 37 completed weeks of pregnancy and its incidence is 6-10% of all births in developed countries. Aims and Ob...
A comparative study on serum high sensitivity C-reactive protein and serum Creatinine Kinase (Total-CK) in acute myocardial infarction
Introduction: C - reactive protein is a substance that is present in the sera of acutely ill patients and that is able to bind to somatic C-polysaccharide on the cell wall of streptococcus pneumonia. Development of assay...
Meckel-gruber syndrome: a case report
Meckel-Gruber syndrome is a rare and lethal syndrome characterized by occipital encephalocele, postaxial polydactyly, and dysplastic cystic kidneys. The highest incidence is reported in the Gujarati Indians and individua...
A Comparative study of Non-penetrating deep sclerectomy versus trabeculectomy in bilateral primary open-angle glaucoma at tertiary health care center
Background: Trabeculectomy is the commonly performed surgical procedure for treatment of glaucoma. Despite of numerous advantages over full-thickness procedures, it can cause undesirable early postoperative complication....
A study of menstrual pattern in relation to thyroid status in infertile women
Introduction: It has long been recognized that thyroid dysfunction may have profound effects on the female reproductive system. A relationship between the thyroid gland and the gonads is suggested by the far more frequen...