A PROSPECTIVE STUDY OF MANAGEMENT OF LOWER END TIBIA FRACTURES WITH LOCKING COMPRESSION PLATE

Dr.Anand Ranjan; Dr.Ramesh Kumar Panthi; Dr. Brajendra  Kumar

Volume : V, Issue : XII, December - 2016

A PROSPECTIVE STUDY OF MANAGEMENT OF LOWER END TIBIA FRACTURES WITH LOCKING COMPRESSION PLATE

Dr. Anand Ranjan, Dr. Ramesh Kumar Panthi, Dr. Brajendra Kumar

Abstract :

Our objective is to evaluate clinical results and outcomes of reduction technique and minimally invasive percutaneous plate osteosynthesis (MIPPO) technique. Adult patients with fractures of lower third tibia admitted to Ramkrishna Care Hospital, Raipur, Chattisgarh was taken for this study after obtaining their informed , valid written consent. This is a prospective study from September 2014 to September 2015. Twenty seven patients were followed an average of 6 months (range 6 – 12 months) with mean fracture healing time was 14 weeks (12-20 weeks). One patient had delayed union which took 20 weeks. Three patients developed ankle stiffness and one patients developed osteomyelitis but fractures united completely. This technique has resulted in effective stabilization of lower third tibial fractures. It does provide adequate stability and allows early mobilization. Open reduction not only helps in achieving reduction in difficult situation but also in rapid union because it facilitates preservation of blood supply to the fragment and anatomical reduction of fracture with greatest advantage being fracture hematoma is not disturbed. This technique is effective in extra articular fractures occurring within 5cm of joint where intramedullary nails often don�t provide adequate stability.