Keywords : indirect reduction
Surveillance of biological plating in comminuted fractures of long bones: Our experience at a tertiary care hospital
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 1608-1619
Osteosynthesis with open reduction technique in comminuted fracture has several disadvantages like increase rate of non-union, non-healing of soft tissue, infection and failure of implant. These problems can be managed by percutaneous minimally invasive plating technique which preserve the vascularity and soft tissue anatomy of fracture fragments.
A total of 40 patients were involved in this study. Distal tibia with or without fibula fracture (12), Diaphyseal tibia (10), Proximal tibia (8), Supra condylar Femur (6) and Subtrochanteric Femur (4) were operated by using the principles of indirect reduction and biological fixation with plates under C-arm guidance. Weight bearing was allowed according to the clinical and radiological union at follow up.
Most patients regained excellent range of motion of adjoining joints. Mean time of radiological union was 20.12 weeks. Two patients had soft tissue infections which healed with wound care and dressing. One patient had non-union which was managed by bone grafting. In this study excellent result was seen in eighteen cases, good in five and fair in other patients.
This study indicates that minimally invasive percutaneous plating is an effective method for treatment of comminuted diaphyseal fracture of long bones. These complex fractures goes onto complete recovery and normal limb function at an early stage with fewer complication