Outcome study of open reduction and internal fixation with lcp implant in lower limb: a prospective study at tertiary care centre

Introduction: The goal of fracture treatment is to obtain union of the fracture in the most compatible anatomical position which allows maximal functional restoration of the extremity. The increase in stability provided by Locking Compressive Plates (LCP) is most helpful to surgeons treating a fracture in poor-quality bone, a comminuted bicondylar fracture. Aims: To show efficacy and outcome of Locking Compression Plate (LCP) implantation in lower limb fractures (mainly in femur and tibia). Study design: Prospective descriptive study. Methodology: Study was conducted in Department of orthopedics, Government Medical College and Hospital, Akola (Maharashtra, India) from January 2013 to December 2013. All patients of lower limb fracture (femur and tibia) treated by LCP implantation were included in the study. Result: Supracondylar femur fracture (38.4%) found to be most common fracture among lower limbs fractures. Majority of the cases 55 (70.5%) were injured due to road traffic accident (RTA). Majority of cases of distal femur fracture, distal tibia fracture, and proximal tibia fracture had shown excellent results. Conclusion: Complications associated with the plate were few and the functional outcome was excellent. Thus, many of the common complications of the conventional plating can possibly be avoided. We therefore recommend the use of locking plate, especially in elderly patients with osteoporotic bone and comminuted fracture.