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National Journal of Clinical Orthopaedics
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2020, Vol. 4 Issue 1, Part A
Surgical management of tibial condyle fractures using locking compression plate
Author(s): Dr. Haresh Rana, Dr. Kerul Ninama, Dr. Abhishek Chavda and Dr. Rahul Meena
Abstract: 
Background and Objective: Incidence of fracture of the tibial condyle are increasing regularly due to RTA. Being one of the major weight bearing joint of the body fracture around it will be of paramount importance. The recent development of LCP has revolutionized the treatment by overcoming the few drawback’s of conventional buttress plate. The LCP is an internal fixation system which is an hybrid of LC-DCP and LISS. The LCP can be applied in three different way a) As compression plate b) As combining compression and bridge plating c) As pure internal fixation (bridge plating).
Methods: We studied 21 patients involving tibial condyle fracture among which 5 patients were treated with MIPO technique and 16 patients with ORIF technique.
Results: We followed up all the patients until union of fractures ranged from 16- 24 weeks. The average time for union of fracture was 18 weeks ranged from 16-24 weeks, those plate bridge with the MIPO technique healed even earlier.
We had total 6 complications include 2 knee joint stiffness, 1 post operative loss of reduction, 1 infection, 1 varus deformity and 1 case of knee instability. We had no case of any purely implant related complication like screw loosening, screw breakage plate failure.
Interpretation and Conclusion: The patient sample approximately reflected the regular trauma patients encountered at our setup, fracture treated with bridge plating and combined principle of conventional and internal fixation (bridge plating) healed rapidly by secondary fracture union and hence achieving strong union across the fracture at a much earlier time compared to LCP as conventional plate. The MIPO type of reduction and fixation was less time consuming, less soft tissue injury so preserve the bone blood supply subsequently helps in healing of both soft tissue and bone faster.
Pages: 39-43  |  1523 Views  81 Downloads
How to cite this article:
Dr. Haresh Rana, Dr. Kerul Ninama, Dr. Abhishek Chavda, Dr. Rahul Meena. Surgical management of tibial condyle fractures using locking compression plate. Nat J Clin Orthop 2020;4(1):39-43 DOI: https://doi.org/10.33545/orthor.2020.v4.i1a.199
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