J Korean Fract Soc.  2013 Apr;26(2):118-125. 10.12671/jkfs.2013.26.2.118.

Analysis of the Result Treated with Locking Compression Plate-Distal Tibia and Zimmer Periarticular Locking Plate in Distal Tibia Fracture

• Lee JY
• Ha SH
• Cho SW
• Park SH

• KMID: 1496166
• DOI: http://doi.org/10.12671/jkfs.2013.26.2.118

Abstract

PURPOSE
To evaluate the clinical and radiological results of minimally invasive plate, osteosynthesis, using either a locking compression plate-distal tibia (LCP-DT) or Zimmer periarticular locking plate (ZPLP) for distal tibia fractures.
MATERIALS AND METHODS
Fifty one patients (51 cases), who underwent minimally invasive osteosynthesis using locking compression plate for distal tibia fractures between October 2008 and August 2011, were followed for more than six months. Eighteen patients were treated with LCP-DT and 33 patients with ZPLP. Time to bony union and anatomic alignment were evaluated radiologically. Clinically, American Orthopedic Foot & Ankle Society ankle-hindfoot scales (AOFAS score) and range of ankle motion were assessed and compared between two groups.
RESULTS
All patients achieved bony union at an average of 18 weeks on LCP-DT group and 16weeks on ZPLP group. The average American Orthopedic Foot & Ankle Society ankle-hindfoot scales was 83.3 points on the LCP-DT group, 84.6 points on the ZPLP group, and range of ankle motion averaged at 45 degrees, 48 degrees, respectively.
CONCLUSION
Both types of locking compression plates were effective when performing minimally invasive osteosynthesis for distal tibia fractures.

Keyword

Distal tibia fracture; Minimally invasive plate osteosynthesis (MIPO); LCP-DT (Locking compression plate - Distal tibia); ZPLP (Zimmer periarticular locking plate)

MeSH Terms

Animals
Ankle
Foot
Humans
Orthopedics
Tibia
Weights and Measures

Figure

• 

  Fig. 1 (A-C) Preoperative radiographs and 3-dimensional computed tomography of a 53 year-old man shows a distal tibia and fibular fractures classified as the AO/OTA type 43-B1. (D, E) The distal tibia fracture was stabilized with the Zimmer periarticular locking plate using a minimal invasive technique. (F, G) Postoperative radiographs shows complete bone union with good alignment at 12 months after surgery.

• 

  Fig. 2 (A-C) Preoperative radiographs and 3-dimensional computed tomography of a 61 year-old man shows distal tibia and fibular fractures classified as the AO/OTA type 43-A3. (D) The distal tibia fracture was stabilized with the locking compression plate-distal tibia plate using a minimal invasive technique. Immediate postoperative anteroposterior radiograph shows 6 degrees of valgus malalignment. (E) Immediate postoperative lateral radiograph shows 12 degrees of posterior angulation. (F, G) Postoperative radiographs shows complete bone union at 18 months after surgery. patient had good functional outcome without further progression of malalignment.

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