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Study on Surgical Management of Distal Tibial Fractures by Locking Compression Plates (LCP)

DOI : https://doi.org/10.36344/ccijmb.2021.v03i03.002
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Introduction: Fractures of the distal tibia are one of the most commonly fractures encountered in orthopaedic practice accounting for 7-10% of all tibial fractures. They represent a significant challenge to most of the surgeons. Most common method of management is by internal fixation using locking compression plate. Aim: To evaluate the effectiveness, functional results and complications following internal fixation of distal tibia fractures by locking compression plates (LCP). Materials and methods: In this study, 20 patients of distal tibia fractures treated surgically following internal fixation by LCP plating, studied between January 2019 to March 2020 in department of orthopaedics, Prathima Institute of Medical Sciences, Nagnoor, Karimnagar, and Telangana. All cases treated surgically by LCP plating using standard surgical technique and postoperative protocol. Results: High energy trauma (RTA) accounted for 80% of cases. Surgeries were performed within one week average. Radiological union seen in 16 weeks (range 14-18 weeks) average. weight bearing started from 12 weeks (Range 10- 14weeks). Ankle stiffness noted in 5% of cases. There were 4 cases of superficial infections, 2 patients with deep infection got treated with antibiotics and debridement. Functional results done according to Olerud and molander scoring system. 70% of patients achieved excellent to good results, 30% patients shows fair to poor results. Conclusion: Locking compression plate has better functional outcome, has the advantage of rigid fixation even in osteoporotic fractures and better angular stability.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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