International Journal of Research in Orthopaedics | March-April 2021 | Vol 7 | Issue 2 Page 386 International Journal of Research in Orthopaedics Kumar S et al. Int J Res Orthop. 2021 Mar;7(2):386-390 http://www.ijoro.org Original Research Article Assessment of complications in treating the fracture around knee joint by using locking compression plate Surender Kumar 1 , Himanshu Khichar 2 * INTRODUCTION Locking plates potentially provide increased stability in these cases to a degree that a second plate is not required. The increased stability is the result of the difference in the mechanics of conventional plate and locking plate fixation. Stability is maintained at the angular stable screw plate interface. As a result of this stable mono block of the locking internal fixator, the pullout strength of locking head screws is substantially higher than that of conventional screws. Because the screws are locked to the plate, it is difficult for one screw to pull out or fail unless all adjacent screws fail. LCP heals fractures by secondary bone healing (enchondral ossification). Secondary bone healing occurs when relative stability is provided and strain (change in fracture gap/fracture gap) is kept between 2 and 10%. 1-3 Secondary bone healing is characterized by callus formation. Other methods by which fracture heals by secondary bone healing are splints, casts, intramedullary nail and external fixators. 6 Stability determines the amount ABSTRACT Background: Aim of the study was to describe complications and problems in treating the fracture around knee joint by using LCP (locking compression plate). Methods: This multicentric prospective functional out-come study has been conducted in the department of orthopedics, Barmer medical college and hospital, Barmer, Rajasthan and department of orthopedics, Pacific institute of medical sciences, Udaipur, Rajasthan. A total of 90 patients were studied, out of which 60 patients were with fracture distal femur and 30 patients were with proximal tibia fractures. Results: Out of 44 patients of distal femur fracture group 10 (22.72%) had infection where as in proximal tibia fracture group 4 (15.38%) out of 26 patients (all were operated by ORIF technique) had infection. Varus deformity was found in 3 patients (6.66%) of distal femur fracture patients and 4 patients (15.38%) of proximal tibia fracture patients out of these 3 were operated by ORIF and 1 by MIPO. Muscle wasting was found in 20 patients (40.44%) of distal femur fracture patients. Limb shortening was found in 7 patients (15.90%) of distal femur fracture. Limp shortening was present in 17 patients (38.60%) of distal femur fracture and 4 patients (15%) of proximal tibia fracture out of these 4 were operated by ORIF and 1 by MIPO. Delayed Union was found in two patients (4.54%) of distal femur fracture patients. Non-union with plate breakage and Non-union with plate loosening each were found in one patient (2.25%). Extension lapse was found in four patients (9.09%) of distal femur fracture and 1 patient (5.88%) of proximal tibia fracture. Conclusion: We concluded that MIPO technique was best. Keywords: Complication, Femur, Tibia, Infection, Compound 1 Department of Orthopedics, Government Hospital, Barmer, Rajasthan, India 2 Department of Orthopedics, Pacific Institute of Medical Sciences, Umarda, Udaipur, Rajasthan, India Received: 05 January 2021 Revised: 19 January 2021 Accepted: 20 January 2021 *Correspondence: Dr. Himanshu Khichar, E-mail: drrattirammeena@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20210197