Abstract
Background: Tibia plateau fractures constitute 1%of all fractures. Bicondylar fractures account for 10-30%, whereas isolated medial and lateral condyle fractures constitute the remaining injuries. Although only 3% of these fractures are open injuries, many of them have closed degloving, deep abrasions or severe soft tissue injuries which require careful consideration in deciding the timing and the nature of surgery. Proximal tibia fractures may be difficult to treat even in experienced hands due to intraarticular extension, comminution, cartilage damage and soft tissue injuries of the cruciate ligaments and menisci. Aim: To compare the functional and surgical outcomes of operative treatment of unicondylar and bicondylar fractures. Materials and Methods: It was a prospective and comparative study of Surgical and functional outcome of proximal tibial fractures in the department of orthopaedics from July 2019 to December 2019. Clearance was obtained from the hospital ethical committee. Fifty patients were taken into consideration for the study. All patients are selected on the basis of history, clinical examination and radiography. The Schatzker’s classification was used to classify these fractures. The patients were followed up for an average period of 6 to 12 months. The patients were divided into two groups. Twenty-five patients in the unicondylar fracture group 1and 25 patients in the bicondylar fracture group 2. Results: The mean age of group 1 patients was 45.7210.85 years, and that of group 2 patients was 46.408.602 years (p>0.05). In group 1 there were 18 (72%) males and 7 (28%) females, in group 2 there were 21 (84%) males and 4 (16%) females. In group 1, the mean union time was 3.04 0.351 and in group 2 was 3.1 0.433(p>0.05). In group 1, the mean follow-up time was 12.81 2.09 and in group 2 was 13.04 2.28 (p>0.05). The mean functional score of group 1 was 91.212.27, and in group 2, it was 8718.2 (p>0.050). In group1 mean WOMAC score was
Highlights
Tibia plateau fractures constitute 1% of all fractures
Locking plates are the present choice of implants for internal fixation for proximal tibia fractures
It was observed that Unicondylar And Bicondylar fractures were common in the middle age group
Summary
Tibia plateau fractures constitute 1% of all fractures. Bicondylar fractures account for 10-30%, whereas isolated medial and lateral condyle fractures constitute the remainingPanda et al / Panacea Journal of Medical Sciences 2020;10(3):291294 injuries. only 3% of these fractures are open injuries, many of them have closed degloving, deep abrasions or severe soft tissue injuries which require careful consideration in deciding the timing and the nature of surgery. 2 Fractures in men tend to occur at a younger age and tend to be the result of high energy trauma; women have increased incidence with advancing age due to osteoporosis. 3Proximal tibia fractures may be difficult to treat even in experienced hands due to intraarticular extension, comminution, cartilage damage and soft tissue injuries of the cruciate ligaments and menisci. 4Not every fracture requires surgery; presently, conservative treatment is only for undisplaced or minimally displaced without any associated soft tissue and neurovascular injury. The aim of surgery is the anatomical reduction and stable fixation to allow early nonweight-bearing mobilisation and knee bending exercises to prevent the development of any arthritic changes. Locking plates are the present choice of implants for internal fixation for proximal tibia fractures. 4. Not every fracture requires surgery; presently, conservative treatment is only for undisplaced or minimally displaced without any associated soft tissue and neurovascular injury.. Bicondylar fractures account for 1030%, whereas isolated medial and lateral condyle fractures constitute the remaining injuries. Aim: To compare the functional and surgical outcomes of operative treatment of unicondylar and bicondylar fractures. Twenty-five patients in the unicondylar fracture group 1and 25 patients in the bicondylar fracture group 2. Results: The mean age of group 1 patients was 45.72±10.85 years, and that of group 2 patients was 46.40±8.602 years (p>0.05). Conclusion: In the light of the aforementioned results, it was found in the surgical and functional outcomes of both unicondylar and bicondylar fractures of the proximal tibia are satisfactory and comparable to each other. Most fractures occurred in the middle age group with male preponderance in both unicondylar and bicondylar fractures
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