The Study of Evaluation of Locked Compression Plating in Metaphyseal Fractures of long bones.

Dr. Dev Reshi Kumar Pandey; Dr Kuldeep kumar Gogia; Dr. Mohammad Zakiuddin

Volume : VIII, Issue : VII, July - 2019

The Study of Evaluation of Locked Compression Plating in Metaphyseal Fractures of long bones.

Dr. Dev Reshi Kumar Pandey, Dr Kuldeep Kumar Gogia, Dr. Mohammad Zakiuddin

Abstract :

BACKGROUND: Open reduction and internal fixation in metaphyseal fractures of long bones jeopardises fracture fragment vascularity and often results in soft tissue complications. Tibia being the most common fractured long bone of the body. AIMS AND OBJECTIVE: To treat the patients with metaphyseal fractures of long bones between 21–65 years presenting in the department of orthopaedics and were treated with locking compression plates. METHODS AND MATERIALS: This is a prospective study, conducted from June 2008 to December 2009 at department of orthopaedics, G.S.V.M Medical College and LLR and associated Hospitals, Kanpur. Trauma was assessed as per ATLS fracture was assessed and classified according to AO/OTA classification. RESULT: In our study we included 52 cases, 42 were males and 10 females. The mean age of patients was 42.2 years (15–70 years). Maximum number of patients was in the age group of 21–30 years. 20 cases of distal femur, 16 cases of proximal tibia, 10 cases of distal tibia, 4 proximal humerus and 2 distal radius were fixed with LCP. 31 patients were closed (59.6%) and 21 were open (40.4%). For maximum number of patients mostly stainless steel plate was used (88%) for fixation and for 6 cases titanium plate was used. CONCLUSION: Reduction and internal fixation of distal tibial fractures using locking compression plate technique is one of the acceptable forms of treatment for lower third tibia including the articular surface with or without complication.