Prospective study to measure the functional outcome of tibial plateau fractures

Authors

  • Anand Mohan Kayath Department of Orthopaedics, K.D. Medical College, Mathura, Uttar Pradesh, India
  • Ankit Kumar Kayathwal Department of Orthopaedics, M.G.M Medical College, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20194163

Keywords:

Tibial plateau fractures, Minimal invasive percutaneous plate osteosynthesis, Cortico-cancellous screw

Abstract

Background: Tibial plateau fractures are complex injuries of the knee. The tibial plateau is one of the most critical load-bearing areas in the human body. Early detection and appropriate treatment of these fractures are essential in minimizing patient's disability in range of movement, stability and reducing the risk of documented complications. The aim of the present study is to study the outcome of tibial plateau fractures and their management.

Methods: This is prospective study which comprises of 50 patients with displaced tibial plateau fracture and were treated between January 2018 to December 2018 with minimal invasive percutaneous plate osteosynthesis and cortico-cancellous screw fixation. Statistical analysis was done by Chi-square test and IBM SPSS software.

Results: In our study we included 50 cases, treated with surgical procedure, 30 cases gave excellent result, 16 cases came out with good result, fair in 3 cases and 1 case had poor result. High velocity injuries have poor outcome than low velocity injuries. A single case of malunion was noted in study. Four cases had knee joint stiffness.

Conclusions: We conclude that functional outcome is good in operatively treated patients. Early physiotherapy plays key role in preventing knee stiffness, use of bone grafts and good fixation important for successful outcome.

Author Biography

Ankit Kumar Kayathwal, Department of Orthopaedics, M.G.M Medical College, Indore, Madhya Pradesh, India

Resident

References

Watson JJ, Wiss AD. Fractures of the proximal tibia and fibula. In: Bucholz RW, Heckman JD, editors. Rockwood and Green’s fractures in adults. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2001: 1799-1839.

Sobotta. Atlas of human Anatomy. In: Putz R, Pabst R, eds. 21st ed. Philadelphia: Lippincott Williams and Wilkins: 2000: 263-347.

Mills WJ, Nork SE. Open reduction and internal fixation of High energy tibial plateau fractures. Orthop Clin North Am. 2002;33:177-94.

Palmer I. Compression fracture of lateral tibial condyle and their treatment. J Bone Joint Surg Am. 1939;2:674.

Palmer I. Fracture of the upper end of tibia. J Bone Joint Surg Br. 1951;33:160.

Hohl M, Luck JV. Fractures of the tibial condyles. J Bone Jt Surg. 1956;58:1001-17.

Roberts JM. Fractures of the condyles of tibia, an anatomical and clinical end result study of 100 cases. J Bone Joint Surg Am. 1968;50:1505.

Porter BB. Crush fractures of lateral tibial table: factors influencing the prognosis. J Bone Joint Surg Br. 1970;52:676.

Schatzkar J, Mc Broom R, Bruce D. The tibial plateau fractures-Toronto experience. Clin Orthop. 1979;138:94.

Burri G, Bartzke J, Coldewey J, Mugglar E. Fractures of the tibial plateau. Clin Orthop. 1979;138:64.

Bowes DN, Hohl M. Tibial condylar fractures-evaluation of treatment and outcome. Clin Orthop. 1982;171:105-8.

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Published

2019-10-22

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Section

Original Research Articles