Original Research Article
Year: 2018 | Month: October | Volume: 8 | Issue: 10 | Pages: 138-144
A Study on Surgical Management of Distal Tibial Fractures by Using Minimally Invasive Technique of Percutaneous Plate Osteosynthesis with Locking Compression Plate
Neeraj Agarwal1, Alok Sood2
1Assistant Professor, Department of Orthopaedics, Varun Arjun Medical College, Banthara Shahjahanpur (UP)
2Associate Professor, Department of Orthopaedics, Major SD Singh Medical College, Farrukhabad (UP)
Corresponding Author: Alok Sood
ABSTRACT
Introduction: Tibia is the major weight bearing bone of the leg. It is the one of the commonest bone to be fractured. In an average population there are about 53 tibial fractures per 1 lakh population per year, out of which 70% are distal tibial fractures. For the past decade, plating using fracture reduction has been successful in treating complex fractures of the lower extremity especially distal tibia. Minimally invasive percutaneous plating will restore limb alignment and yield successful clinical outcomes for high-energy fractures of the distal tibia.
Aim & Objectives: 1. To study Distal Tibial Fractures including Pilon Fractures in adults. 2. To assess time required for fracture union. 3. To evaluate functional outcome of the surgery and compare with those in literature. 4. To study complications of surgery.
Methodology: The present study was conducted from 1st September 2016 to 1st Sptember 2017 at the Department of Orthopaedics, Varun Arjun Medical College, Shahjahanpur, During this period 14 patients of distal one third tibia fractures were treated surgically.
Results: The age of the patients ranged from 18 to 65 years with the fracture being most common in the 3rd and 4th decade and an average age of 39 years. Out of 14 patients, 11 (78.57%) patients were males and 03 (21.43%) patients were females showing male preponderance. Out of the 14 cases, 09 (64.29%) cases were closed fractures and 05 (35.71%) cases were open fractures. At the end of 12 months of the 14 patients treated, 02(14.29%) patients had excellent outcome, 07 (50%) had good results, 03 (21.42%) had fair outcome and 02(14.29%) patient had a poor result. Only 2 (14.29%) cases were having ankle stiffness followed by superficial skin infection (7.14%) and deep infection (7.14%).
Key words: Tibial fractures, Pilon Fractures, closed fractures, Minimally invasive percutaneous plating.