Locking Vs Buttress Plating in Management of Fracture Upper End of Tibia

Title: Locking Vs Buttress Plating in Management of Fracture Upper End of Tibia

Authors: Dr H S Mann, Dr Girish Sahni, Dr Arvind Kumar, Dr Ashok Kumar Sharma

DOI: http://dx.doi.org/10.18535/jmscr/v4i9.90

Abstract

References

Corresponding Author

Abstract

Introduction- Fractures of proximal tibia involves a major weight bearing joint i:e knee joint and are serious injuries that frequently result in functional impairment. To preserve normal knee function surgeon must try to maintain joint congruity, preserve the normal mechanical axis, ensure joint stability and restoring full range of motion.

Aim- the goal of study was to compare the restoration of articular congruity, axial alignment, joint stability and functional motion.

Material and Methods- A study was conducted on 30 patients of fracture of upper end tibia in adults out of which 15 cases were treated by locking plate and the rest 15 cases were treated by buttress plating

Results- Road side accidents were the cause in more in 90% of patients. According to AO classification 14 cases were type A, 5 cases were type B and 11 cases were type C. Intra articular fractures were commonly Schatzker type VI. Duration of surgery and rate of complications were more in buttress plate group. Radiological union occurred earlier in patients treated with locking plate. One case that went into non union was seen in buttress plate group. Early mobilitiy and better functional outcome was seen in those treated with locking plate than those with buttress plate.

Conclusions- Our study concluded that proximal tibial fractures can be treated more effectively with lateral locking plate.

Keywords:- tibia, buttress plate, locking plate, fracture, non union.

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