Functional outcome of minimally invasive plate osteosynthesis of proximal tibial fractures using locking compression plates
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Aim of surgical treatment of proximal tibial fractures is to restore and preserve normal knee function. Locking compression plate device offers potential bio-mechanical advantages. Treatment of these injuries using Minimally Invasive Plate Osteosynthesis (MIPO) techniques may minimise soft tissue injuries, and damage to vascular integrity of fracture fragments. Material and methods: The present study was carried out among 30 patients aged more than 20 years with closed proximal tibial fractures, Gustilo-Anderson Type 1 & 2 proximal tibial fractures, proximal metaphyseal fractures, associated ligamentous injuries and associated upper end fibula fractures. Chi square test was used to test statistically significant difference in proportions and a p value <0.05 was considered significant. SPSS version 21.0 was used for statistical analysis. Results: Majority of the study participants were in the younger age group and Majority of the study participants were males (76.7%) and most of them (70%) did not have any associated co-morbid conditions. Majority of the study participants (70%) had an ‘Excellent’ final functional outcome after surgery. Proportion of study participants with ‘Excellent’ final functional outcome was significantly high among those who are young as compared to elder patients. Also, this association was found to be statistically significant (p value – 0.037). Conclusion: The surgical management of tibial fractures is challenging, demanding the need to give excellent anatomical reduction, rigid fixation, to maintain axial alignment, to restore articular congruity, facilitate early knee motion, thus achieving optimal knee function and thereby preventing post-traumatic osteoarthritis.
Authors and Affiliations
Elango M, Prajwal Ganesh S, Murugan M
Keywords
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