Assessment of complications in treating the fracture around knee joint by using locking compression plate
Keywords:Complication, Femur, Tibia, Infection, Compound
Background: Aim of the study was to describe complications and problems in treating the fracture around knee joint by using LCP (locking compression plate).
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.
Results: Out of 44 patients of distal femur fracture group 10 (22.72%) had infection where as in proximal tibia fracture group 4 (15.38%) out of 26 patients (all were operated by ORIF technique) had infection. Varus deformity was found in 3 patients (6.66%) of distal femur fracture patients and 4 patients (15.38%) of proximal tibia fracture patients out of these 3 were operated by ORIF and 1 by MIPO. Muscle wasting was found in 20 patients (40.44%) of distal femur fracture patients. Limb shortening was found in 7 patients (15.90%) of distal femur fracture. Limp shortening was present in 17 patients (38.60%) of distal femur fracture and 4 patients (15%) of proximal tibia fracture out of these 4 were operated by ORIF and 1 by MIPO. Delayed Union was found in two patients (4.54%) of distal femur fracture patients. Non-union with plate breakage and Non-union with plate loosening each were found in one patient (2.25%). Extension lapse was found in four patients (9.09%) of distal femur fracture and 1 patient (5.88%) of proximal tibia fracture.
Conclusion: We concluded that MIPO technique was best.
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.
Cordy HRJ, Perren SM. In vivo measurement of bending stiffness in fracture healing. Biomed Eng Online. 2003;2:8.
Perren SM. Evolution of internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology JBJS Br. 2002;84:1093-110.
Jazrawi LM, Kummer FJ, Simon JA, Bai B, Hunt SA, Egol KA, Koval KJ. New technique for treatment of unstable distal femur fractures by locked double plating: 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, Tscherne H. Transarticular joint reconstruction and Indirect Plate Osteosynthesis for complex distal supracondylar femoral fractures. Injury. 1997;28:31-41.
Rockwood CA, Green DP, Bucholz RW, eds. Fractures in adults, 4th ed. Philadelphia: Lippincott-Raven. 1996.
Drake R, Vogl AW, Mitchell A. Henry Gray’s Anatomy Anatomy for Students. Churchill Livingstone. 2009;513-7.