Amar Tej B, Rajesh Kumar Mallepogu, Rajaiah D, Pavana Kumar Babu Aasupathri, Raghavendra Rao Thadi, Rajesh Kolla
BACKGROUND There has been a disturbing rise in the number of road traffic accidents ever since the advent of high-speed transportation, with an increased number of orthopaedic related problems. Proximal tibia has a vital role in the stability and proper knee function as it transmits the body mass through the knee joint and leg. Proximal tibial fractures result from axial compressive forces, usually with a valgus or varus moment and indirect shearing forces. The main aim of operative management of proximal tibial fractures is to achieve an acceptable good knee functional outcome, which can be achieved by proper anatomical restoration of articular surfaces, ligamentous stability, proper mechanical axis and a functional pain-free range of motion of knee. Locking Compression Plates have become an important tool in the management of these complex fractures. MATERIALS AND METHODS The current designed work is on proximal tibial fractures that were treated with a locking compression plate (LCP). This was carried out in the department of orthopaedics at Kurnool Medical College, Kurnool in between Nov 2016 and Nov 2018. Approval was obtained from the hospital ethical committee. During the study, 20 patients with proximal tibial fractures were taken into account and treatment was given by locking compression plate fixation and followed for 6 months. RESULTS Excellent to good results were obtained in 90% of the cases and poor to fair results in 10% of the cases. 1 patient had an infection (5%) which healed with appropriate antibiotics, 1 patient had deep vein thrombosis (5%) which was treated conservatively, and 2 patients had knee stiffness (10%) at the end of final follow up. CONCLUSION Open/closed reduction and internal fixation of closed tibial plateau fractures with locking compression plate is an effective method of treatment provided there is no extensive soft tissue injury. Locking compression plate provides good angular stability and is very useful in treatment of these complex fractures.
