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OUTCOME OF DYNAMIC COMPRESSION PLATING IN ADULT TIBIAL SHAFT FRACTURES- A STUDY OF NORTHERN PUNJAB

Dr Omer Farooq Tanveer, Dr Tanveer Haider, Dr Rizwan Anwar, Dr Mohammad Abdul Hanan, Dr Muhammed Arif, Dr Zahid Siddique

Background: Fixation of Diaphyseal tibial fractures by dynamic compression plates is not considered the best option due to complications that may eventually arise; however, if principles of stability and proper surgical technique are used, it is possible to obtain fracture consolidation without major risks. Objective: To determine the outcome of dynamic compression plate in adult tibial shaft fractures. Study Design: Descriptive Study Place and Duration of Study: Department of orthopedic surgery, Khawaja Mohammad Safdar Medical College Sialkot, from September 2015 to June 2108. Methodology: We selected 51 tibial diaphyseal fractures in which open reduction was done followed by dynamic compression plate fixation using single technique by same surgical team. Fracture healing and wound infection following tibial plating was studied. Results: 51 patients were included in the study 40 patients were male and 11 were females. Mean age at the time of surgery was 43 years. 42 (82.35%) were closed fractures and 09 (17.65%) were open injuries. Patients were followed for wound infection at 14th postoperative day and union at 12 weeks. 49 (96.07%) had no wound infection and 02 (03.93%) developed wound infection. 50 (98.03%) fractures healed in 12 weeks while 01 (01.97%) went into non-union. Conclusion: Dynamic compression plate is an excellent option for the treatment of adult tibial shaft fractures and can produce good outcome if principles of stability, minimum soft tissue stripping, proper tissue handling and optimal surgical technique are applied. Key words: Tibial Diaphyseal Fractures, Adults, Dynamic Compression Plate.

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