What is it about?
Outcome analysis of the management of tibial pilon fracture by medial locking compression plating.
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Why is it important?
Fractures of the distal tibia can be challenging to treat because of limited soft tissue, the subcutaneous location and poor vascularity. Fractures of distal tibia remain a controversial subject despite advances in both nonoperative and operative care. The goal in expect care is to realign the fracture, realign limb length and early functional recovery. The aim of our study is to analyze the functional outcome of distal tibial fractures treated by Medial Distal Tibial Locking Compression Plate (LCP).
Perspectives
Medial Tibial locking compression plating can be considered as a reliable modality of management of distal tibial fractures and it has to be done either within 24 hrs of the injury before the edema sets in or a delay of 8 to 12 days for the edema to settle down and the wrinkle sign appears. Respect the soft tissues, do not operate too early or through compromised skin, instead wait till the soft tissues is amenable for surgery. Restoration of the articular surface and reestablishing its relationship to the tibial shaft is the primary goal of treatment. Good functional result depends on reasonable anatomic reduction of the articular surface either by direct or indirect methods.
Dr Sathish Muthu
Government Hospital, Velayuthampalayam, Karur, TN, India.
Read the Original
This page is a summary of: Outcome analysis of management of tibial pilon fracture by medial locking compression plating, International Journal of Orthopaedics Sciences, January 2019, AkiNik Publications,
DOI: 10.22271/ortho.2019.v5.i1i.84.
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