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
Keywords
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