Abstract
Introduction: Originally described as the fender fracture tibial plateau fractures resulted primarily from low-energy pedestrian versus car bumper accidents. The majority of tibial plateau fractures reported in the recent literature have resulted from high-speed motor vehicle accidents and falls from a height. Injuries to the tibial plateau occur as a result of a force directed either medially (valgus deformity, the classic “bumper fracture”) or laterally (varus deformity), an axial compressive force or both an axial force and a force from the side. Locking Compression plates have become and imminent tool in the management of these complex fractures. Aim: The aim of the study is to analyze prospectively by clinical, radiological and functional methods the results of open/closed reduction and internal fixation of closed tibial plateau fractures treated by Locking Compression Plates. Method: This is a prospective study conducted in Chengalpattu Medical College and Hospital, Chengalpattu. Twenty patients who satisfied the following criteria were included in our study. Depending on the type of fracture and severity of soft tissue injury all the patients were stabilized initially and closed or open reduction of the fracture done and fracture stabilized with locking compression plate. Discussion and Conclusion: The results were analyzed both clinically and radiologically using the Knee scoring system by Hospital for Special Surgery. Results based on Knee Scoring System, Hospital for Special Surgery (HSS) we had excellent result in 10 cases, good result in 7 cases, fair result in 3 cases and we had no poor result. From our study, we conclude that, Open/closed reduction and internal fixation of closed tibial plateau fractures with locking compression plate is an effective method of treatment provided there is no extensive soft tissue injury. Locking compression plate provides good angular stability with its triangular reconstruction principle.
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