Osteosynthesis by locking plate for proximal tibial fractures

Area of Science:

• Orthopedic Surgery
• Traumatology
• Biomedical Engineering

Background:

• Proximal tibial fractures present significant treatment challenges.
• This study evaluates the outcomes of treating these fractures using LCP locking plates.

Purpose of the Study:

• To assess the clinical and radiological results of LCP locking plate fixation for proximal tibial fractures.
• To determine the efficacy and safety of this surgical technique.

Main Methods:

• A retrospective study of 14 patients (AO-type 41A2-3 and C1 fractures) treated with LCP locking plates between 2004 and 2008.
• Follow-up included clinical assessment of range of motion and autonomy, and radiological evaluation.

Main Results:

• All fractures achieved bone fusion with a mean time of 13.28 weeks.
• Patients maintained good range of motion (mean 117.5°) and functional autonomy.
• Six cases showed secondary displacement (average 2.83°), though clinical consequences were minimal. No infections or general complications were reported.

Conclusions:

• LCP locking plate osteosynthesis provides good clinical results for proximal tibial fractures.
• Careful surgical technique and appropriate weight-bearing protocols are crucial to minimize secondary displacement.