Volume : IX, Issue : IV, April - 2019

UNION IN METAPHYSEAL LOCKING PLATE AROUND KNEE

Bharat S, Abhay K, Syed A

Abstract :

Introduction: The knee joint is superficial joint of lower extremity and complex movements of bones takes place during the motion at knee joint. Operative techniques and implants have dramatically improved, and internal fixation is recommended for most distal femoral fractures in adults. Fractures of the tibial plateau involve the articular surface of the proximal tibia. Adequate fixation and early achievement of postoperative range of motion are important for a good prognosis and adequate postoperative functioning. A lateral locking plate can provide adequate stability for comminuted or osteoporotic plateau fractures. Internal fixation with plate and screw remain treatment of choice for most periarticular fractures and other complex fractures inadequately stabilized by new locking plate designs. Material & Methods: Hospital Based Prospective Observational Study, All cases of distal femur and proximal tibia fractures coming to our hospital, Consecutive type of non–probability sampling was used for selection of study subjects. A total of 50 consecutive patients who are scheduled to undergo surgery for fractures around knee i.e. distal femur and proximal tibia fractures were taken in the study after informed consent. The results were analyzed according to the Oxford knee score criteria. Results: Most common mode of Injury was road traffic accident (54%) followed by fall (46%). Distal femur fracture were seen in 42% cases while proximal tibia fractures were seen in 58% cases. Delayed, mal and non–union was seen in 4 (8%), 3 (6%) and 1 (2%) cases respectively. Knee stiffness, surgical wound infection and osteomyelitis was seen in 3 (6%), 3 (6%) and 1 (2%) cases respectively. As per the oxford knee score, excellent outcome was seen in 84% cases while good and fair outcome was seen in 10% and 6% cases respectively. Conclusions: Metaphyseal locking plates is a good implant for the fractures around knee i.e. distal femur and proximal tibia with an excellent functional outcome. The locking plates preserve the periosteal blood supply and hence the union is early as compared to other methods

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

UNION IN METAPHYSEAL LOCKING PLATE AROUND KNEE, Bharat S, Abhay K, Syed A INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-4 | April-2019

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