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Original Article
Analysis of the Result Treated with Locking Compression Plate-Distal Tibia and Zimmer Periarticular Locking Plate in Distal Tibia Fracture
Jun-Young Lee, M.D., Sang-Ho Ha, M.D., Sung-Won Cho, M.D., Sung-Hae Park, M.D.
Journal of the Korean Fracture Society 2013;26(2):118-125.
DOI: https://doi.org/10.12671/jkfs.2013.26.2.118
Published online: April 22, 2013

Department of Orthopaedic Surgery, College of Medicine, Chosun University, Gwangju, Korea.

Address reprint requests to: Jun-Young Lee, M.D. Department of Orthopaedic Surgery, Chosun University Hospital, 365 Pilmun-daero, Dong-gu, Gwangju 501-717, Korea. Tel: 82-62-220-3147, Fax: 2-62-226-3379, leejy88@chosun.ac.kr
• Received: July 27, 2012   • Revised: January 7, 2013   • Accepted: January 7, 2013

Copyright © 2013 The Korean Fracture Society

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  • 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.
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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.
jkfs-26-118-g001.jpg
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.
jkfs-26-118-g002.jpg
Table 1
Demographic Data of the Patients
jkfs-26-118-i001.jpg

LCP-DT: Locking compression plate-distal tibia, ZPLP: Zimmer periarticular locking plate, F/U: Follow up, AO/OTA: Arbeitsgemeinschaft fur Osteosynthesefragen/Orthopaedic Trauma Association.

Table 2
Results of LCP-DT and ZPLP Groups
jkfs-26-118-i002.jpg

LCP-DT: Locking compression plate-distal tibia, ZPLP: Zimmer periarticular locking plate, ROM: Range of motion, AOFAS: American Orthopedic Foot & Ankle Society ankle-hindfoot scales.

Figure & Data

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    • Biomechanical analysis and clinical effects of bridge combined fixation system for femoral fractures
      Da-xing Wang, Ying Xiong, Hong Deng, Fu Jia, Shao Gu, Bai-lian Liu, Qun-hui Li, Qi Pu, Zhong-zi Zhang
      Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine.2014; 228(9): 899.     CrossRef

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      Analysis of the Result Treated with Locking Compression Plate-Distal Tibia and Zimmer Periarticular Locking Plate in Distal Tibia Fracture
      J Korean Fract Soc. 2013;26(2):118-125.   Published online April 30, 2013
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    Analysis of the Result Treated with Locking Compression Plate-Distal Tibia and Zimmer Periarticular Locking Plate in Distal Tibia Fracture
    Image Image
    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.
    Analysis of the Result Treated with Locking Compression Plate-Distal Tibia and Zimmer Periarticular Locking Plate in Distal Tibia Fracture

    Demographic Data of the Patients

    LCP-DT: Locking compression plate-distal tibia, ZPLP: Zimmer periarticular locking plate, F/U: Follow up, AO/OTA: Arbeitsgemeinschaft fur Osteosynthesefragen/Orthopaedic Trauma Association.

    Results of LCP-DT and ZPLP Groups

    LCP-DT: Locking compression plate-distal tibia, ZPLP: Zimmer periarticular locking plate, ROM: Range of motion, AOFAS: American Orthopedic Foot & Ankle Society ankle-hindfoot scales.

    Table 1 Demographic Data of the Patients

    LCP-DT: Locking compression plate-distal tibia, ZPLP: Zimmer periarticular locking plate, F/U: Follow up, AO/OTA: Arbeitsgemeinschaft fur Osteosynthesefragen/Orthopaedic Trauma Association.

    Table 2 Results of LCP-DT and ZPLP Groups

    LCP-DT: Locking compression plate-distal tibia, ZPLP: Zimmer periarticular locking plate, ROM: Range of motion, AOFAS: American Orthopedic Foot & Ankle Society ankle-hindfoot scales.


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