Assessment of complications in treating the fracture around knee joint by using locking compression plate

Surender Kumar, Himanshu Khichar


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.


Complication, Femur, Tibia, Infection, Compound

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