DOI: https://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20221813
Published: 2022-08-25

Clinical performance of tibia bone plate system for fixation of tibia fracture

Sonika Bhatt, Mohit Kumar, Tarun Kumar, Bhawana Chawale, Gaurav Luthra

Abstract


Background: In this study, we aimed to investigate the performance of the tibia plates system while treating the tibia fracture fixation. The objective of this study was to reduce the post-operative complications of proximal and distal tibia fracture by using indigenously manufactured implants (plates and screws).

Methods: In this retrospective study, we studied the results of the tibia plate system in treatment of tibia fracture. A total of 34 consecutive patients were included in this study (24 males, 10 females and average age 48.6 years). Fracture type was classified as per the Muller AO classification of fracture. According to the AO classification, proximal and distal tibia fractures 41-A, 41-B and 41-C was observed with one year follow up period followed by physical exercises after one month of the surgery. The fractures were treated with wise-lock proximal and distal tibia plates.

Results: The outcomes of clinical treatment were obtained in our study; no pain (88.2%), mild pain (11.7%) after 1 year follow up. The follow up of patients was taken on 1 month, 6 months and 1 year according to visual analog scale (VAS) score. No implant related problem have been found like loosening, bending and corrosion. X-ray was used to check the union, non-union. Functional outcomes were assessed with VAS.

Conclusions: Treatment of tibia fracture with wise-lock proximal and distal tibia plate shows good outcomes with less complications.


Keywords


Tibia fracture, AO classification, Visual analog scale, Open reduction and internal fixation

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References


Mangukiya HJ, Mahajan NP, Pawar ED, Mane A, Manna J. Functional and radiological outcome in management of compound tibia diaphyseal fracture with AO monolateral fixator versus Limb reconstruction system. Journal of Orthopaedics. 2018;15(1):275-81.

Völk D, Neumaier M, Einhellig H, Biberthaler P, Hanschen M. Outcome after polyaxial locking plate osteosynthesis in proximal tibia fractures: a prospective clinical trial. BMC Musculoskeletal Disorders. 2021;22:286.

Wanjema S, Oluoch R, Ayumba BR, Lelei LK. Tibial Diaphyseal Fractures: Aetiology, morphology and treatment in adult patients at Moi Teaching And Referral Hospital, Eldoret, Kenya. East African Orthopaedic Journal. 2020;14:2020.

Zhang J, Ebraheim N, Li M, He X, Schwind J, Liu J et al. External fixation using locking plate in distal tibial fracture: a finite element analysis. Eur J Orthop Surg Traumatol. 2015;4:210-4.

McGonagle L, Cordier T, Link BC, Rickman MS, Solomon LB. Tibia plateau fracture mapping and its influence on fracture fixation.J Orthop Traumatol. 2019;20(1):12.

Beck M, Gradl G, Gierer P, Rotter R, Witt M, Mittlmeier T. Treatment of complicated proximal segmental tibia fractures with the less invasive stabilization locking plate system. Unfallchirurg. 2008;111(7):493-8.

Singh SD, Kale SY, Asif A, Parsania J, Jain A, Chaudhari P. Clinical outcomes of patients undergoing Minimally Invasive Plate Osteosynthesis (MIPO) for distal tibia fractures. Journal of Clinical Orthopaedics. 2020;5(2):2-5.

Berven H, Brix M, Izadpanah K, Kubosch J, Schmal H. Comparing case-control study for treatment of proximal tibia fractures with a complete metaphyseal component in two centers with different distinct strategies: fixation with Ilizarov frame or locking plates. Journal of Orthopaedic Surgery and Research. 2018;10:94-8.