Functional outcome of distal tibia fractures managed with anatomical locking plates
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Background: Distal tibia fractures accounts for almost 10% of all tibial fractures. This injury is most frequent in middle aged group probably resulting due to high energy trauma. Optimal fixation with due respect to scarce soft tissue envelope is one of the important succeeding factor in the management. Material and Methods: We studied 25 cases of distal tibial fractures presented to our institution between June 2016 to Aug 2018. All cases treated with plate osteosynthesis as a definitive fixation with standard medial approach for ORIF and with MIPPO wherever feasible. Results: our study included Twenty Five patients of distal tibia fracture treated with distal tibia locking plate with minimum follow up of three months and maximum follow up of two years. This study observed patients with minimum age of 27 years and maximum age of 66 years with a mean age of 45 years where maximum numbers of patient in age group 46-60 years. Out of 25 patients 23 were male and two patients were female. Functional outcome measured using AOFAS SCORE where 14(56%) patients showed excellent results, 5(20%) patients showed good results, 5(20%) patients showed fair results and 1(4%) patient had poor results shown. Conclusions: Selection of appropriate operative methods to address this injury is crucial part in the management. Minimal soft tissue handling and stable internal fixation in order to achieve early rehabilitation protocol with lesser soft tissue related complications.
Authors and Affiliations
Dr. Rajesh V Chawda, Dr. Vijay J Patel, Dr. Vatsal Y Patel
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