Background: Proximal tibial fractures account for 1% of all fractures. Different treatments have been proposed for this fracture. Objectives: The present study aims to evaluate the clinical and radiological results of Singlelocking and double-locking plate fixation methods in patients with proximal tibial fractures. Methods: The present study was carried out on 40 patients with proximal tibial fractures referred to Imam Khomeini Hospital in Sari, Iran. They were divided into two groups of double-locking fixation with 3. 5-mm locking Compression plate (LCP) and Single-locking fixation with 4. 5-mm LCP. They were followed up for at least 6 months after surgery. At the time of admission, they were assessed using Lysholm Knee Scoring Scale and Visual Analogue Scale. Radiographs were taken from all patients and the articular surface, and fracture healing, . Results: Of 40 patients, 17 and 23 were treated with 3. 5-mm and 4. 5-mm LCPs, respectively. The mean Lysholm score in the groups with 3. 5-mm and 4. 5-mm LCPs was 84±, 8. 2 and 78. 3±, 16. 2, respectively. There was no statistically significant difference between the two groups (P>0. 5). Conclusion: The radiological and functional outcomes were almost the same for Single-locking and double-locking plate fixation methods. Both methods can be used to treat the tibial plateau fracture. The treatment can be selected according to the surgeon and the patient’, s request.

Background: Proximal humerus fracture (PHF) has an increasing incidence rate in older people falling on their stretched arms (1). Because of the vascular anatomy pattern of the proximal humerus, support of the medial cortex becomes essential (2). According to the recent studies, different strategies can provide medial support, but locking plate fixation is the most widely used technique (3). However, 30% of reoperation is reported due to fixation failure, avascular necrosis (AVN) of the humeral head, and postoperative infections. These complications are because of a lack of medial column appropriate structural support (4-6)...

Background: Anatomic distal femoral locking Compression plate (LCP) is generally used to fix distal femoral fractures. However, these plates are not suitable for periprosthetic femoral fracture after Total Knee Arthroplasty (TKA), mainly due to prosthesis impingement. Objectives: In this case series, we report the outcome of proximal tibial LCP fixation in treating periprosthetic femoral fracture after TKA. Methods: Twelve patients with a periprosthetic femoral fracture who underwent surgical treatment were included in this study. According to Su et al. classification, all fractures were type II, originating from the femoral component with proximal extension. Fractures were managed with open reduction and plate fixation. The plate choice was either a long low-profile proximal tibial LCP (n=9) or a short anatomic distal femoral LCP (n=3). Results: The patients were one man and 11 women with a Mean±, SD age of 74. 5±, 9. 3 years and a Mean±, SD follow-up of 2. 8±, 1. 3 years. Union of fracture was observed in all fractures fixed with a long locking plate during a Mean±, SD period of 3. 1±, 2. 1 months. fixation failed in three patients who were managed with a short plate. These patients underwent revision surgery with a long low-profile proximal tibial LCP. In one of them, the fixation failed again and was finally fixed with a tumor prosthesis. The other two fractures were united with no complications. Conclusion: Long low-profile proximal tibial LCP resolved the impingement problem by prosthesis, caused by short anatomic distal femoral LCP in treating periprosthetic femoral fractures above the prosthesis. However, future large-scale comparative studies are required before recommending LCP for routine implications in these fractures.