Open AccessStaged Treatment of Proximal Tibial Fracture Using External Locking Compression Plate
Author(s) -
Ebraheim Nabil A.,
Carroll Trevor,
Hanna Maged,
Zhang Jingwei,
Liu Jiayong
Publication year - 2014
Publication title -
orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.666
H-Index - 23
eISSN - 1757-7861
pISSN - 1757-7853
DOI - 10.1111/os.12101
Subject(s) - medicine , surgery , reduction (mathematics) , radiography , internal fixation , tibia , tibial fracture , tibial plateau fracture , orthodontics , geometry , mathematics
Objective To share our preliminary clinical success and failure with using an external locking compression plate ( LCP ) for proximal tibial fractures, further refine the indications for this procedure and review relevant published reports. Methods The current study reports two cases of proximal tibial fracture treated with external LCP as the second stage of a two‐stage treatment. One patient was a 59‐year‐old man with a closed proximal tibial/fibular fracture caused by falling on ice while getting out of his car, and another patient was a 42‐year‐old male smoker with right comminuted proximal tibia, tibial plateau and proximal fibular fractures. The outcomes were evaluated by radiographs and weight bearing status. Results In the first case, the fracture healed uneventfully whereas the second case required further open‐reduction with internal fixation because correct alignment could not be achieved with an external LCP . Conclusion Correct alignment of proximal tibial fractures followed by use of an external LCP can achieve favorable outcomes.