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Volume 11 Issue 3 (July-September) 2022

Original Articles

Utilization of Locking Compression Plates in the Management of Proximal Tibial Fractures
Dr. Brajesh Kumar, Dr. Vivek Kumar

Background:The treatment of proximal tibia fractures has historically posed challenges due to the anteromedial surface's subcutaneous location. Contemporary focus has shifted significantly towards addressing the condition of the soft tissue envelope. This study aims to assess the union of proximal tibia fractures treated with a Locking Compression Plate, examining the clinical outcomes, including knee range of movements and complications associated with this particular treatment approach.Methods:A prospective study spanning one year was conducted on 60 patients with proximal tibial fractures treated using locking compression plates. The study included both male and female participants aged 20 to 70, undergoing treatment with locking compression plates for intra-articular and extraarticular fractures of the proximal tibia. Exclusions comprised type II and Type III open fractures (Gustilo Anderson), pathological fractures, and individuals with severe comorbidities. The study received approval from the ethics committee, and informed written consent was obtained from all participants. Subsequently, data was systematically collected from the enrolled patients.Results:The predominant age group in the study was 31-40 years, comprising the majority of patients (30%). The study demonstrated a significant male preponderance, with 80% of participants being male, while female patients constituted 20% of the study group. The most prevalent cause of fractures was Road Traffic Accidents. According to the AO classification system, 3.3% of patients were classified as type A1, 13.3% as type A2, 30% as type A3, 16.7% as type C1, 30% as type C2, and 6.7% astype C3.Conclusion:The findings of this study lead to the conclusion that Open Reduction and Internal Fixation (ORIF) with Locking Compression Plate (LCP) emerges as a favorable implant choice for proximal tibia fractures, even in challenging fracture scenarios.

 
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