Functional Outcome Of Medial Distal Tibial Locking Compression Plate Fixation In Distal Tibial Fractures-A Prospective Study.
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Abstract
Aim: The Study Aim To Assess The Functional Outcome Of The Fracture Of Distal Tibia Treated With Medial Distal Tibial Locking Compression Plate.
Materials & Methods: In The Current Study, 30 Patients With The Distal Tibia Fractures Underwent Reduction & Internal Fixation By Open & Mippo Technique With The Medial Distal Tibial Locking Compression Plate. The Study Was Conducted From July 2018 To December 2020 At Department Of The Orthopedics In Sree Balaji Medical College & Hospital.
Results: All Patients Had Excellent Clinical & Functional Outcome. The Age Of Patient Ranged From 23 - 62 Years With The Fracture Seen Commonly In The 4th & 5th Decade Of Life. Out Of The 30 Patients, 18 (60%) Were Male & 12(40%) Were Female, Indicating Male Predominance. All The Cases Were Then Evaluated Using The Iowa Ankle Score, Aofas Scoring Periodically & Only Final Follow Up Scores Were Taken For Compilation Of Results. Functional Results Based On Iowa Ankle Score In Mippo Group Among 18 Patients, 15 Patients Had Excellent Results With 2 Good And 1 Fair Result. In Orif Group Among 12 Patients, 8 Patients Had Excellent Results With 3 Good And 1 Fair Result. Based On Aofas Score In Mippo Group Among 18 Patients, 14 Patients Had Excellent Results ,3 Had Good Result, 1 Fair Result And No Poor Result. In Orif Group Among 12 Patients, 7 Patients Had Excellent Results With 3 Good Result, 2 Fair Result And No Poor Result. Implant Failures Or Deformity Was Not Seen In Any Cases.
Conclusion: The Current Study Provides Ample Stability Of The Fracture & Facilitates Early Motion. It Also Helps In Achieving The Rapid Union & Allows The Preservation Of Blood Supply To The Fragment & Achieve Fracture Reduction. The Biggest Advantage Of Fixation Of The Fracture With Distal Tibial Locking Plate Is That Anatomical Reduction Is Achieved & Added Advantage In Mippo Is Fracture Hematoma Is Not Disturbed. This Study Shows That Lcp With Mipo Technique Provides Better Healing Of Fracture With Good Recovery And Lesser Complications Of Treatment.