“A STUDY OF FUNCTIONAL OUTCOME OF TIBIAL PLATEAU FRACTURE OPERATED BY PLATE OSTEOSYNTHESIS”

Abstract

Background: Tremendous advance in mechanization and fastness of travel have been accompanied by steep increase in number and severity of fractures and those of tibial plateau are no exception. Knee being one of the major weight bearing joints of the body, fractures around it will be of paramount importance. Objective: 1. This study is to analyze the functional outcome of ORIF with plating with or without bone grafting in tibial plateau fractures in adults. 2. To study complication of operative management Methods: Conrmed cases of Tibial plateau fractures admitted in Department of Orthopaedics in Basaweshwara Teaching and General Hospital attached to Mahadevappa Rampure Medical College, Kalaburagi. The purpose of the study is to include with tibial plateau fractures diagnosed with history taking, Examination and investigations: knee X ray-AP and Lateral view. The need of operative intervention is assessed based on the Shatzker`s classication and intervention done by techniques like anterolateral plating bicondylar plating, posteromedial plating. Patients will be reviewed at 6 weeks, 3 months and 6 months interval and their assessment done by Rasmussens functional and radiological scoring. In our Results: series, majority of the patients were males, middle aged, with road trafc accident being the commonest mode of injury, Most of the cases were Type I fractures i.e., split fracture of lateral condyle according to Schatzker`s classication, Surgery was performed with in 6.48 average days, Union was noted clinically and radiologically and functional evaluation was done by Rasmussen functional and radiological score. Excellent results were present in 23 patients (76%), 4(20%) good and 1(4%) poor results. Achieving and maint Interpretation /Conclusion: aining anatomical reduction with plates with less soft tissue dissection helps in early mobilization and hence obtaining good functional and radiological outcomes of tibial plateau fractures early physiotherapy for rehabilitation