DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20210196

Evaluation of the functional outcome of locking compression plate for fractures around knee joint distal 1/3rd femur or proximal 1/3rd tibia

Surender Kumar, Himanshu Khichar

Abstract


Background: The aim of the study was to evaluate the functional outcome of locking compression plate for fractures around knee joint (Distal 1/3rd femur or proximal 1/3rd tibia).

Methods: This multicentric prospective functional out-come study has been conducted in the department of orthopedics, Barmer medical college and hospital, Barmer, Rajasthan and department of orthopedics, Pacific institute of medical sciences, Udaipur, Rajasthan. A total of 90 patients were studied, out of which 60 patients were with fracture distal femur and 30 patients were with proximal tibia fractures. At the end of study, 20 patients were lost to the follow-up (16 patients were with distal femur fracture and 04 patients were with proximal tibia fracture).

Results: According to modified Mehrotra’s criteria for distal femur fracture  excellent (43.18%) and fair (43.18%) and (13.64%) had poor result. All followed-up patients of proximal tibia fracture managed with MIPO technique had excellent (11.11%), good (66.67%) and fair (22.22%) functional outcome and no failure. While 17.65% followed patients of proximal tibia fracture who were managed with ORIF technique had failure.

Conclusions: Locking compression plate is the optimal tool for many supracondylar fractures of femur and proximal tibia fractures. It provides rigid fixation, where a widening canal, thin cortices and frequently poor bone stock make fixation difficult.


Keywords


Femur, Tibia, Locking plate, MIPO, Outcome

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