Abstract
Objective: Objective of this study is to assess the application of percutaneous screw fixation and closed reduction for tibial plateau fractures in Karachi, Pakistan.
 Methods: The study design of this study is case series with sample size of 58 patients calculated by WHO calculator with functional outcome of 80-100%. The duration of the study was about 6 months.Non-probability sequential technique was adopted for data collection.
 Results: The average patient age was 35.35±6.84 years however male patient were high in numbers (83.8%). Types of fractures (type I, II and IV) and functional outcomes (un-satisfactory and satisfactory) showed 17(29.3%), 33(56.8%) and 12(20.6%) and 4(6.45%) and 58(93.5%). The mean Rasmussen Score was 24.6(4.9%) however significant relationship between age and functional group were observed (p<0.05). The Rasmussen Functional Scoring System and Schatzker classification were also evaluated w.r.t ache, capability of walking normally, extension lag, stability as well as range of motion. Scores ranging from 28 up till 36 stipulate excellent, from 20 to 27 good, considering score of 10 to 20 fair and 6 to 10 poor.
 Conclusion: The application of Percutaneous screw fixation and closed reduction for tibial plateau fractures in Karachi, Pakistanis less invasive, decrease hospital stays and charges, escalation of early mobilization along with satisfactory outcomes.
Highlights
Tibial plateau fracture (TPF) areperiarticular injuries of proximal tibia making up 1% of all fractures
Patients suffering from diabetes mellitus, hypertension, previously on surgical treatment, identified with sustaining bony fractures other than tibial plateau fracture, Pathological and open fractures, types 5 and 6 of Schatzger classification of tibial plateau fractures and patients demanding open reduction and bone grafting during surgery considered to be excluded
An informed consent was obtained from all patients with tibial plateau fracture meeting the inclusion criteria and was enrolled at the time of admission from the emergency (ER) and Out Patient Department (OPD)
Summary
Tibial plateau fracture (TPF) areperiarticular injuries of proximal tibia making up 1% of all fractures. Males over age of 50 years suffer this fracture from high energy trauma. Female over age 70 years incur this fracture due to low energy trauma [1]. The treatment of tibia plateau remain clinically challenge [2]. The treatment options depending upon the intensity of injury incurred and involvement of other surrounding tissues. Percutaneous fixation and closed reduction are less invasive and require lesser operative exposure than internal fixation and open reduction. It poses a reduced risk of blood loss, infections and insult of soft tissues. The complications of the discussed treatment include nerve compression, wrongly placed screw or failure of hardware [8]
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