Evaluation of the functional outcome of locking compression plate for fractures around knee joint distal 1/3rd femur or proximal 1/3rd tibia

Authors

  • Surender Kumar Department of Orthopedics, Government Hospital, Barmer, Rajasthan, India
  • Himanshu Khichar Department of Orthopedics, Pacific Institute of Medical Sciences, Umarda, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20210196

Keywords:

Femur, Tibia, Locking plate, MIPO, Outcome

Abstract

Background: The aim of the study was to evaluate the functional outcome of locking compression plate for fractures around knee joint (Distal 1/3rd femur or proximal 1/3rd tibia).

Methods: This multicentric prospective functional out-come study has been conducted in the department of orthopedics, Barmer medical college and hospital, Barmer, Rajasthan and department of orthopedics, Pacific institute of medical sciences, Udaipur, Rajasthan. A total of 90 patients were studied, out of which 60 patients were with fracture distal femur and 30 patients were with proximal tibia fractures. At the end of study, 20 patients were lost to the follow-up (16 patients were with distal femur fracture and 04 patients were with proximal tibia fracture).

Results: According to modified Mehrotra’s criteria for distal femur fracture  excellent (43.18%) and fair (43.18%) and (13.64%) had poor result. All followed-up patients of proximal tibia fracture managed with MIPO technique had excellent (11.11%), good (66.67%) and fair (22.22%) functional outcome and no failure. While 17.65% followed patients of proximal tibia fracture who were managed with ORIF technique had failure.

Conclusions: Locking compression plate is the optimal tool for many supracondylar fractures of femur and proximal tibia fractures. It provides rigid fixation, where a widening canal, thin cortices and frequently poor bone stock make fixation difficult.

References

Berkson EM, Virkus WW. High Energy Tibial Plateau Fractures. J Am Acad Orthop Surg. 2008;14:20-31.

Egol KA. Biomechanics of locked plates and screws. Orthop trauma. 2004;18;8.

Perren SM. Point contact fixator: part 1. scientific background, design and application. Injury. 1995;22(1):1-10.

Perren SM. Physical and biological aspect of fracture healing with special reference to internal fixation. Clin Orthop. 1979;138:175-96.

Hente R. Cordy J, Perren SM. In vivo measurement of bending stiffness in fracture healing. Biomed Eng online. 2003;2:8.

Jazrawi LM, Kummer FJ, Simon JA, Bai B, Hunt SA, Egol KA et al. New technique for treatment of unstable distal femur fractures by locked doubleplating: case report and biomechanical evaluation. J Trauma. 2000;48:87-92.

Sanders R, Swiontkowski M, Rosen H, Helfet D. Double-plating of comminuted, unstable fractures of the distal part of the femur. J Bone Joint Surg Am. 1991;73:341-6.

Kregor PJ, Stannard JA, Zlowodzki M, Cole PA. Treatment of distal femur fractures using the less invasive stabilization system: surgical experience and early clinical results in 103 fractures. J Orthop Trauma. 2004;18:509-20.

Krettek C, Schandelmaier P, Miclau T, Bertram R, Holmes W, Tscherne H. Transarticular joint reconstruction and indirect plate osteosynthesis for complex distal supracondylar femoral fractures. Injury. 1997;28(1):31-41.

Rockwood CA, Green DP, Bucholz RW, eds. Fractures in adults, 4th ed. Philadelphia: Lippincott-Raven, with permission. 1996.

Drake R, Vogl AW, Mitchell A. Henry Gray’s Anatomy Anatomy for Students. Churchill Livingstone. 2009;513-7.

Vallier HA, Hennessey TA, Sontich JK, Patterson BM. Failure of lcp Condylar Plate Fixation in the Distal Part of the Femur. J Bone Joint Surg Am. 2006;88(4):846-53.

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Published

2021-02-23

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Section

Original Research Articles