Distal Tibia Fractures Treated With Posterior Plating Through Posterolateral Approach.

Distal tibia fractures are difficult to treat. Various modalities are available for the treatment. Our study aims to find out how efficient and safe is posterior plating through posterolateral approach in middle and old aged individuals and in individuals with anteromedial type 1 & 2 compound injury for distal tibial fractures. Thirteen cases of distal Tibial Fractures that came to our hospital were selected for Posterior plating through posterolateral approach. Of these 7 were closed type of fractures and 6 were open type (Gustillo Anderson type I). Other parameters such as the varus and valgus deformity, duration of wound healing, blood loss, duration healing time of the fractures and complications were taken into consideration to assess the treatment. The mean surgery time was 75 minutes with a mean blood loss of 40 ml. The post-operative healing period was good in all thirteen patients. The union occurred at a mean time of 20 weeks. There was No incidence of non-union, mal union, Limb length discrepancy, varus or valgus deformity or any neuro vascular injury. Thus our study proved that posterior plating through posterolateral approach is an efficient and effective method for treating distal tibial fractures.