Functional outcome of locking compression plate in the management of proximal tibia fracture

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.