Osteosynthesis of Distal Tibial Fractures using Anterolateral Distal Tibia Locking Compression Plate

Vol 34 | Issue 1 | Jan – April 2019 | page: 10-15 | Dinesh Kumar, Jasveer Singh, Rajeev Kumar, Harish Kumar, Manish Raj, Ankit Mittal


Authors: Dinesh Kumar [1], Jasveer Singh [1], Rajeev Kumar [1], Harish Kumar [1], Manish Raj [1], Ankit Mittal [1]

Address of Correspondence

Dr. Jasveer Singh,
Department of Orthopaedics,
Uttar Pradesh University Of Medical Sciences,
Saifai, Etawah, Uttar Pradesh, India
E-mail: singhkgmc@gmail.com


Abstract

Introduction: The management of distal tibia fractures has been a great challenge to orthopedic surgeons due to soft tissue damage, extensive comminution, intra-articular extension, and lack of vascularity. Conservative treatment of these fractures quite often results in a number of complications including malunion, non-union, and ankle stiffness. These fractures are generally not suitable for intramedullary nailing despite certain studies indicating satisfactory results in some of these fractures. External fixation can be used either as a temporary or definitive method of treatment, especially in fractures with severe soft tissue injury, but malunion and delayed union continues to be the main problems with this method of fixation. Some studies show significant good results in distal tibial fracture mixed with anterolateral distal tibial locking compression plate (LCP) using the anterolateral approach.
Materials and Methods: In this study, 36 patients were treated using the anterolateral distal tibia LCP plate between January 2017 and August 2018. The functional outcome was measured by Teeny and Wiss clinical assessment criteria.
Results: Of the 36 patients in the study, 29 were male and seven were female. The mean age was 37.86 years with standard deviation ± 9.54. The majority of cases were AO Type B (50%). In the majority of cases (77.13%), the complete union was achieved by 16–20 weeks. Three patients had an immediate complication in the form of infection and one patient had wound dehiscence. Early complication includes deep infection in four patients, of which two progressed to wound dehiscence. One patient develops non-union and two develop malunion, one patient had an infection, one united in valgus, and one had non-union. The mean functional score was 78.16 ± 10.02 with one excellent outcome, six good, 24 fair, and have poor outcomes.
Conclusion: Anterolateral plating in the distal end tibial fractures using the anterolateral approach is safe, easy, and effective and has fair the functional outcome with less complication.
Keyword: Osteosynthesis, Anterolateral Approach, Distal Tibia


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How to Cite this Article: Kumar D, Singh J, Kumar R, Kumar H, Raj M, Mittal A. Osteosynthesis of Distal Tibial Fractures using Anterolateral Distal Tibia Locking Compression Plate. Journal of Bone and Joint Diseases Jan-April 2019;34(1):9-14.


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