No abstract

Background: Fractures of proximal end tibia have historically been difficult to treat because of its subcutaneous location of the anteromedial surface of the tibia. Locking compression plate device offers potential biomechanical advantage over other methods. Locking compression plate has added advantage of the ability to manipulate and reduce the small and often osteoporotic fracture fragments directly. The present study objective was to compare the efficiency of locking compression plate in treatment of fractures with other standard methods of treatment. Method: In the present study, 20 patients with closed fracture of upper end of tibia were studied. All the cases were treated at GSL General Hospital, between 2015 & 2017 and followed for a minimum of 6 months.The method used for fracture fixation was closed or open reduction and internal fixation with locking compression plate. The duration of follow up was 6 months. Result: In the present study the commonest mode of injury being the road traffic accident 90%. There was Left sided predominance, compared to the right side. Most of the patients fall into type III, type IV, type V and type VI schatzker's classification. 14 (70%) patients showed excellent result and 5 (25%) patients showed good outcome. Conclusion: Locking Compression Plate is an important armamentarium in treatment of fractures around knee especially when fracture is severely comminuted and in situations of osteoporosis.

<p class="abstract"><strong>Background:</strong> The management of proximal humerus fractures (PHF) is a challenging task to any surgeon. Study was conducted to evaluate the clinical and functional outcome of the proximal humeral internal locking system in fixation of displaced proximal humeral fractures.</p><p class="abstract"><strong>Methods:</strong> Study was conducted in the Department of Orthopedics, GSL Medical College. Informed written consent was taken from the study participants. All skeletally mature patients aged &gt;18 years, presenting with displaced PHF according to Neer two, three and four part fracture were included in the study. Either deltopectoral or deltoid splitting approach was used for surgery, post-operative rehabilitation was started on day one.<strong></strong></p><p class="abstract"><strong>Results:</strong> Twenty-five patients with PHF were enrolled in the study; five-holed proximal humerus locking plate (PHLP) was used for 18 patients, eight-holed PHLP for 05 and three-holed, ten-holed PHLP for 01 for one each. The Constant-Murley score was significantly improved (p=0.000) over each successive follow-up period with the average improvement of around 19 scores between 1^st and 2^nd follow-up and around 15 score improvement between 2^nd and 3^rd follow-up.</p><p class="abstract"><strong>Conclusions:</strong> The proximal humeral locking plate is an adequate device for the fixation of displaced two-part, three-part and four-part PHF. Patient can regain good shoulder function, resume normal activities much earlier.</p>