No abstract

Background: The proximal tibia fractures are one of the commonest intra-articular fractures. These injuries fall into two broad categories, high energy fractures and low energy fractures. The majority of tibial plateau fractures are secondary to high velocity accidents and fall from height where fractures result from direct axial compression, usually with a valgus (more common) or varus movement and indirect shear forces. Proximal tibial fractures present a spectrum of soft tissue and bony injuries that can produce permanent disabilities. Objective: This study evaluates the effectiveness of LCP (locking compression plate) in the management of proximal tibia fractures based on clinio-radiological assessment. Methods: It is a prospective observational study with sample size of 30 and all patients having intraarticular and or juxtaarticular fracture of proximal part of tibia, using AO classification system. Post operatively patients were followed up after 2 weeks, 6 weeks and at 3 month then monthly till union. Results: Fair to good functional results were correlated with associated injury whereas excellent results were obtained with those who did not sustained other associated injury. Conclusion: locking compression plate offers a good treatment option for intraarticular and juxtaarticular fractures of proximal part of tibia without the need for additional medial stabilization. Level of evidence: prospective level III follow up study.

Introduction: Distal humerus fractures is a common fracture in elderly and young due to fall with direct impact over elbow. Bicolumnar plating by Posterior Approach provides excellent results in view of range of motion of elbow and stability. Materials & Methods: A total of 15 patients who were operated for distal humerus fracture with orthogonal (90-90degree) Bicolumnar plating by olecranon osteotomy approach / Triceps splitting approach was followed clinically and radiologically. Results: 9 months follow up of both clinical and radiological studies shows good union in distal humerus fractures radiologically and good range of motion and elbow stability. Conclusion: Bicolumnar orthogonal (90-90degree) plating in Distal Humerus fractures by Posterior approach provides excellent reduction and provides successful results in view of elbow range of motion and stability.

Tibial shaft fractures are the most common of long bone fractures. Tibial fractures are usually the result of trauma, both high energy and low energy. Increasing energy of injury leads on to both bone and soft tissue complications. Approximately 25 % of both bone fractures of leg are open fractures requiring external fixation or wound debridement with resultant problems in wound healing by secondary intention. A few often require secondary procedures for internal fixation which might get infected leading on to a vicious cycle implant exit, external fixation, wound debridement. Posterior tibial plating aims at avoiding the vicious cycle by providing primary internal fixation. We have reported a case series of patients who got operated for fracture tibia with posterior tibial plating, patients were followed up and functional outcome is reported in this study. Materials & Methods:Patients who had sustained lower limb fractures were examined and those patients with fracture at distal diametaphyseal region of tibia along with minor soft tissue injuries (Gustilo Anderson Type I and Type II) were chosen. Patients with fracture both bone leg with open physes were also included. We treated three patients with posterior plating of tibia. Results: Bone Union was achieved in all three patients with all of them bearing full weight at the end of four months. Conclusion: Posterior tibial plating adds another viable alternative in treating distal diametaphyseal fractures with soft tissue compromise or open physes.