Functional outcome of proximal tibial fracture treated surgically using locking compression plate

Mahendra K. Aseri, Vijaypal Singh, Pradeep Kr. Sharma


Background: Tibial plateau fractures are common intra-articular fractures, representing 1.2% of all fractures. These fractures are common in two age groups: as higher-energy fractures in younger patients and lower-energy fractures in elderly patients secondary to osteopenia. In the younger population, these injuries are associated with an increased incidence of complications like nonunion, infection, restriction of motion, and post-traumatic arthritis. The study aimed for final outcome of proximal tibial fracture using locking compression plate by minimally invasive percutaneous plate osteosynthesis (MIPPO).

Methods: 30 cases of proximal tibial fractures were treated by using locking compression plate and studied from December 2015 to November 2017 in Department of Orthopaedics, Dr. S.N. Medical College associated group of Hospitals, Jodhpur.

Results: All the selected 30 cases were followed up for 6 months. The average time for union of fracture was 21 weeks ranging from 18-24 weeks. Full weight bearing was not allowed until 12 weeks or complete fracture union. Partial immobilization was kept for 6 weeks in long knee brace. An average flexion was achieved upto0-1140. We observed 4 cases of postoperative complications that included 2 infections, one knee stiffness and one varus deformity.

Conclusions: Surgical management of proximal tibia fractures with only lateral plating by MIPPO gave excellent reduction, rigid fixation to restore articular congruity and provides early motion to achieve optimal knee function and reducing post-traumatic osteoarthritis.


Fracture, Proximal tibia, Locking compression plate, MIPPO

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Cole P, Levy B, Schatzker J, Watson JT. Tibial plateau fractures. In: Browner B, Levine A, Jupiter J, Trafton P, Krettek C, eds. Skeletal Trauma: Basic Science Management and Reconstruction. Philadelphia, PA: Saunders Elsevier; 2009: 2201–2287.

Papagelopoulos PJ, Partsinevelos AA, Themistocleous GS, Mavrogenis AF, Korres DS, Soucacos PN. Complications after tibia plateau fracture surgery. Injury. 2006;37:475–84.

Watson JJ and Wiss AD. Fractures of the proximal tibia and fibula, chapter 44 in Rockwood and Green’s fractures in adults, Bucholz RW and Heckman JD, Ed. 5th ed. Vol 2. Philadelphia: Lippincott Williams and Wilkins; 2001: 1799-1839.

Wagner M. General principles for the clinical use of the LCP. Injury. 2003;2:31-42.

Schatzkar J, Mc Broom R and Bruce D. The tibial plateau fractures – Toronto experience. Clin Orthop, 1979;138:94.

Rasmussen PS. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment. J Bone Joint Surg Am. 1973;55:1331-50.

Honkonen SE. Indications for surgical treatment of tibial condyle fractures. Clin Orthop. 1994;302:199-205.

Cole PA, Zlowodzki M, Kergor J. Treatment of proximal tibia fracture using the Less Invasive Stabilization System. Surgical experience and early clinical results in 77 fractures. J Orthop. 2004;18:528-35.

Egol KA, Su E, Tejwani NC, Sims SH, Kummer FJ, Koval KJ. Treatment of complex tibial plateau fractures using the less invasive stabilization system plate. J Trauma. 2004;57:340-6.

Buchko GM, Johnson DH. Arthroscopy assisted operative management of tibial plateau fractures. Clin Orthop. 1996;332:29.

Marsh JL, Smith ST, Do TT. External fixation and limited internal fixation for complex tibial plateau fractures. J Bone Joint Surg. 1995;77:661-73.

Jong-keun O, Chang-wug O, In-Ho J, Sung-Jung K, Hee-Soo K, Il-Hyung P, et al. Percutaneous plate stabilisation of prximaltibial fractures. J Truama. 2005;5:431-7.