Supracutaneous Locking Compression Plate for Grade I & II Compound Fracture Distal Tibia—A Case SeriesReport as inadecuate




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Background: Supracutaneous plating using a lockingcompression plate LCP as an external fixator in compound periarticular areas is facilitated by thedevelopment of anatomical plates. The soft tissue around the distal tibia iseasily compromised by trauma and subsequent operative fracture treatment posinga definitive challenge in the distal tibia compound fractures. The purpose of thisreport is to describe our successful results using the metaphyseal locking compression plate LCP as an external fixator inthe treatment of Grade I & II compound fractures of distal tibia. Methodology: A total of five 05 patients underwent -supracutaneous plating-of the tibia using a metaphyseal locking compression plate. Average age was 36 years. Regular screw tract dressings were done.Average period of follow-up was 15 months. Results: The plate was insitu for an average of 24 weeks. There were no clinically significant screw site infections.In all five patients the plate was kept in place until there was completeconsolidation both clinically and radiologically. At the latest follow-upaverage 15 months, allpatients were fully weight bearing with a fully healed tibia. All patients wereinfection-free with well-healed wounds. Conclusion: Routinely, after initial debridement and temporary bonystabilization is provided by external fixation in compound fractures of the distaltibia with significant soft tissue injury. Most external frames for the lowerleg are bulky and cumbersome, causing significant problems for the patient. Tocircumvent these issues, we have successfully used an anatomically-contouredsupracutaneous metaphyseal locking compression plate as external fixator in aseries of five patients for grade I & II compound fracture of the distaltibia.

KEYWORDS

Locking Compression Plate; Compound Tibial Fractures; External Fixation of LCP

Cite this paper

S. Gupta and S. Parimala -Supracutaneous Locking Compression Plate for Grade I & II Compound Fracture Distal Tibia—A Case Series,- Open Journal of Orthopedics, Vol. 3 No. 2, 2013, pp. 106-109. doi: 10.4236-ojo.2013.32021.





Author: S. K. Venkatesh Gupta, Shyam Prasad Parimala

Source: http://www.scirp.org/



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