Locking Plate in Proximal Tibial Fracture: A Correlation between the Coronal Alignment of Tibia and Joint Screw Angle.
10.3349/ymj.2013.54.3.720
- Author:
Jong Keon OH
1
;
Jin Ho HWANG
;
Lalrinliana VARTE
;
Jae Han KO
;
Chang Wug OH
;
Duk Young JUNG
;
Hyonggin AN
;
Jae Woo CHO
Author Information
1. Department of Orthopaedic Surgery, Korea University School of Medicine, Guro Hospital, Seoul, Korea.
- Publication Type:Original Article ; Evaluation Studies
- Keywords:
Proximal tibial fracture;
locking plate;
tibial coronal alignment
- MeSH:
Adult;
Aged;
Aged, 80 and over;
*Bone Screws;
Female;
Humans;
Male;
Middle Aged;
Orthopedic Procedures/*methods;
Retrospective Studies;
Tibial Fractures/radiography/*surgery
- From:Yonsei Medical Journal
2013;54(3):720-725
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study is to evaluate the relationship between the angle formed between the proximal most screw through the locking compression plate-proximal lateral tibia (LCP PLT) and the joint line, and to evaluate if this angle can be used intraoperatively as an assessment tool to determine normal alignment of the tibia in the coronal plane. MATERIALS AND METHODS: There are two parts to this study: in the first part, LCP PLT was applied to 30 cadaveric adult tibia. The angle between the joint line and the proximal most screw was measured and termed as the 'joint screw angle' (JSA). In the second part, 56 proximal tibial fractures treated with LCP PLT were retrospectively studied. Two angles were measured on the radiographs, the medial proximal tibial angle (MPTA) and the JSA. Their relationship was analyzed statistically. RESULTS: The average JSA was 1.16 degrees in the anatomical study. Statistical analysis of the clinical study showed that the normal MPTA had a direct correlation with an acceptable JSA. CONCLUSION: We therefore conclude that the JSA can be used intraoperatively to assess the achievement of a normal coronal axis.
