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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Updated: Jan 18, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Low Profile, High Impact: External Fixation using Locking Plates in Challenging Tibial Fractures.

Ismail Pandor¹, Abhishek Sharma¹, Paresh Patil¹

¹Department of Orthopaedics, Krishna Vishwa Vidhyapeeth, Karad, Maharashtra, India.

Journal of Orthopaedic Case Reports

|September 12, 2025

Summary

This summary is machine-generated.

Locking plate external fixators (LPEFs) provide a viable solution for complex tibial fractures with soft tissue damage. This method shows high union rates and excellent functional recovery, making it a promising surgical option.

Keywords:

External fixator locking plates tibia fracture

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Area of Science:

Orthopedic Surgery
Trauma Surgery
Biomaterials Engineering

Background:

Metadiaphyseal tibial fractures with compromised soft tissues present significant surgical challenges.
Traditional external fixators are common, but locking compression plates (LCPs) used externally offer a low-profile, angularly stable alternative.

Purpose of the Study:

To evaluate the clinical outcomes of using locking plate external fixators (LPEFs) for metadiaphyseal tibia fractures.
Assess union rates, complication profiles, and functional recovery in patients treated with LPEFs.

Main Methods:

A prospective study of 15 adult patients with open or soft-tissue-compromised metadiaphyseal tibia fractures.
Treatment involved applying LCPs as external fixators over 12 months.
Outcomes measured included radiological union, time to weight-bearing, infection and reoperation rates, and functional scores (KSS, AOFAS).

Main Results:

A 90% union rate was achieved, with a mean time to union of 12.1 weeks.
Complications were low, including one superficial infection (6.6%) and one reoperation (6.6%).
Excellent functional outcomes were observed, with mean Knee Society Score (KSS) of 85 and American Orthopaedic Foot and Ankle Society (AOFAS) score of 81.

Conclusions:

LPEF is a viable fixation method for complex tibial fractures involving soft-tissue compromise.
This approach facilitates early mobilization and leads to fewer complications and superior functional results.
Further research with larger cohorts is recommended to support broader clinical adoption.