IJSR - International Journal of Scientific Research

Dr. Bhavin Agrawal; Dr. Sanjay N. Patil

Volume : VI, Issue : IV, April - 2017

Surgical Outcome of Anterolateral Plate Fixation In Distal End of Tibia Fracture

Dr. Bhavin Agrawal, Dr. Sanjay N. Patil

Abstract :

Introduction–Soft tissue healing is important in distal tibial fractures for a successful outcome. There is an increasing trend of using anterolateral plate due to an adequate soft tissue cover on anterolateral distal tibia. The aim of this study was to evaluate the functional outcome and complications of anterolateral locking plate in distal tibial fractures.

Duration Of Study– 2 years

Objectives–To Evaluate function outcome after using Anterolateral Locking Plate in Distal End of Tibia Fracture

To assess the complication after using Anterolateral Locking Plate.

To find out the time required for fracture healing after use of Anterolateral locking plate

Results: The fractures united in 19 patients while nonunion was seen in 1 patient. Postoperatively, 2 patients developed superficial skin infection, 1 patients developed deep infection and 1 patient developed ankle stiffness due to loss of postoperative protocol. Good amount of range of mobility of ankle joint was present in almost all patients.

Conclusions–In surgical treatment of fractures of distal tibia, anterolateral approach allows proper exposition of lateral malleolus and distal tibia, especially its epiphysis. With this approach precontoured, anterolateral plate should be used for fixation of tibia fracture. Properly placed plate in this region is well covered with soft tissue, thus minimizing risk of problems with surgical wound healing.