Clinical outcome of proximal tibia plates in extra-articular proximal tibia fractures: a retrospective study

Background: Tibial fractures, which account for 2.2% of all intra-articular fractures, are frequent. These fractures are prevalent in two age groups: younger patients experience higher-energy fractures, whereas elderly patients experience lower-energy fractures as a result of osteopenia. These injuries are linked to a higher frequency of complications such as non-union, infection, mobility limitation, and post-traumatic arthritis in the younger population. The study's primary objective was to assess the results of proximal tibial fracture treated with a locking plate.Methods: Thirty patients with proximal tibia fractures are included in this retrospective clinical study. They are all treated with a tibia plate system made by Kaulmed private limited in Sonipat, Haryana, India.  Thirty patients consisting of 18 males and 12 females, with average age of 42 years. Fractures categorized based on AO classification and type of soft tissue injury. Patients assessed clinically, radiologically, functionally using VAS, post-op radiographs and ROM.Results: All 30 cases that were chosen were monitored for 6 months. The average time for fracture union was 21 weeks, with a range of 18 to 24 weeks. No delayed union and non-union was observed. Infection, valgus, Knee stiffness were the complication that was observed. Two patients complained about the mild pain on the post-operative visit. Acceptable knee ROM of angle >120° was achieved and all patients were satisfied at their last visit based on parameters of pain, ADLs, aesthetics and full weight bearing.Conclusions: Excellent results were achieved in the surgical treatment of proximal tibia fractures by MIPO (minimal invasive plate osteosynthesis) and ORIF (Open reduction and internal fixation) using proximal tibia plate technique. Optimum knee function is achieved with reduction, rigid fixation to restore articular fragments, and early mobility. preventing osteoarthritis following trauma.