Abstract

Most of lower leg external fixation are bulky and cumbersome and provides only temporary bony stabilization. Anatomically pre-contoured supracutaneous LCP has been utilized by many authors as an external fixator in patients with compound fractures of lower limb. Aim: The aim of this study is to analyse the end result of Supracutaneous LCP as a method of definitive external fixation and its effect on rate of union , average time taken for union,rate of infection, complications ,the need of secondary procedure. Methodology: A complete of 25 patients of compound fractures of tibia underwent“supracutaneous plating” of the tibia using a LCP. Regular screw tract dressings were done. Average period of follow-up was 7 months Results: The plate was kept ex situ for a period of 20-24 weeks. out of 25 patients 18 had union and 7 had non – union. maximam patients achieved union between 6-8 mnths. Mean time for union was 6.9 mnths . Conclusion: In compound fractures of tibia supracutaneous LCP can be used as a definitive external fixator because it gives good results and fewer complication rates,with Adequate stability. Advantageous effect of LCP in facilitating wound healing, cosmetic surgery procedure. Because it does not strike the contralateral leg therefore cosmetically acceptable and functional while ambulation. it saves cost of secondary procedure as well.

Description