Stress fractures of proximal tibia - Surgical management technique with fibulectomy and open reduction and internal fixation with plating

Abstract

Over the period of 8 years, seven proximal tibia stress fractures managed surgically at tertiary care center. The elderly patients were suffering from osteoporosis and osteoarthritis along with varus deformity in proximal tibia. These fractures were in postero-medial cortex of the tibia and managed with open reduction and internal fixation with precontoured proximal tibia plates. Fibulectomy done at the time of surgery. Fracture union assessed with sequential X-rays and Functional outcome measured at 2 years followup with Knee Society Score. Union of fracture seen in all the cases with average knee society score of 68 at final followup.