IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 17, Issue 5 Ver. 1 (May. 2018), PP 14-20 www.iosrjournals.org DOI: 10.9790/0853-1705011420 www.iosrjournals.org 14 | Page Appraisal of Clinical and Radiological Outcome of Management of Distal Tibia Fractures With Distal Tibia Locking Plate (DTLP) Dr. Simranjit Singh*, Dr. Rajesh Kapila**, Dr. Kamal Kumar Arora***, Dr. Rakesh Sharma****, Dr. Priti Chaudhary***** Corresponding author: Dr. Kamal Kumar Arora 163-B, Bazar No.7 Opp. S.K. Electronics Near Neem Wala Chowk, Ferozepur Cantt Mob: 98559-52964 Email: kka1967@gmail.com *Senior Resident , Department of Orthopaedics, Govt. Medical College, Amritsar **Professor, Department of Orthopaedics , Govt. Medical College, Amritsar ***Assistant Professor, Department of Orthopaedics, Govt. Medical College, Amritsar **** Professor, Department of Orthopaedics, Govt. Medical College, Amritsar ***** Professor, Department of Anatomy, G.G.S. Medical College, Faridkot Abstract : Distal tibial fracture is one of the commonest fracture following accidents in over 15% of total fracture cases.The triumph key in managing these niggling fractures is to proficiently preserve, reconstruct the soft tissues, acceptable reduction & early mobilization.AO/OTA classification system is used now a days to classify these fractures.The concept of "biological osteosynthesis", a terminology introduced to designate a new & novel type of osteosynthesis leading to a sufficiently stable fixation of bone fragments allowing early mobilization, and that too without major disturbance of the vascular supply.The advantages of distal tibiallocking plates (DTLP) apply most directly to highly comminuted fractures, unstable metadiaphyseal segments, and osteoporotic fractures. Key Words:DTLP, biological osteosynthesis, distal tibial fractures. --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 17-04-2018 Date of acceptance: 05-05-2018 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction Fracture of distal tibia is one of the commonest fracture following accidents in over 15% of totalfracture cases. As for the tibia, its subcutaneous nature and be short of adequate musculature medially makes it more vulnerable to fracture and consequentialbone trouncing. The triumphkey in managing these niggling fractures is to proficiently preserve, reconstruct the soft tissues, acceptable reduction& early mobilization. These fractures are making happeneither by direct vehemenceor indirect trauma. Sir John charnleyin 1961 stated: “we have still a long way to go before the best method of treatment of a fracture of the shaft of tibia can be stated with finality”. Sluggishrate of union is usually as a result of severity of fracture, meagre blood supply to one fragment and sometime distraction of bone fragments; sporadic limitation of joint movement in knee, ankle and foot,usually caused by allied joint soft tissue and vascular injury. Ruedi and Allgower's classification was the first in widespread useaccetability. This classified axial loading fractures of distal tibia into three types, based on the degree of comminution of the articular surface. 1 Of late this has largely been supplemented by AO/OTA classification system. 2 II. AO/OTA CLASSIFICATION It groups distal tibia fractures as 43. TypeA fractures are extraarticular distal tibial fractures, subdivided into A1, A2, and A3 groups, based on the amount of metaphysealcomminution. Type B fractures are partial articular fractures & a portion of the articular surface remains in permanence with the shaft; these are subdivided into B1, B2, and B3, dependingupon the amount of articular impaction and comminution.