Abstract
<p><strong>Objective:</strong><strong>Â Â </strong>To determine percutaneous screw fixation (PSF) as fair treatment option for Schatzker type I, closed tibial plateau fracture in adults.</p><p><strong>Patients and Methods:</strong><strong>Â Â </strong>30 male and female adults between the ages of 20 and 40 were included. Only displaced Schatzkar type I closed tibial plateau fractures without any associated injury or complication were included. Type II, III, IV, V and VI, fractures with infection, patients with other severe injuries and neurovascular compromise fractures were excluded. Patients were followed weekly for one month, every alternate week for four months, thereafter monthly for up to six months to assess range of motion, deformity, union or any other complication.</p><p><strong>Results:</strong><strong>Â Â </strong>Mean healing was 11.6 weeks. Mean hospital stay was 8.4 days. The overall clinical results were excellent in 20 (66.6%), good in 8 (26.6%), fair in 2 (6.6%) cases.<strong></strong></p><p><strong>Conclusion:</strong><strong>Â Â </strong>Percutaneous screw fixation provided</p><p>better results in close displaced type I Schatzker tibial plateau fracture in adults. It is minimally invasive and achieved articular anatomical reduction, rigid fixation and early mobilization.</p>
Highlights
Plateau fracture of the tibia is very important in loadbearing region of human body and its fractures are 1% prevalent from all fractures, and its treatment is very difficult
Clinical results obtained in this study were excellent in 14 (46.6%) cases, good in 10 (33.3%) and fair in 6 (20%)
This study demonstrated most common causes of tibial plateau fractures to be road traffic accidents 23 (76.6%), falling from heights 5 (16.6%) and sports injury 2(6.6%)
Summary
Plateau fracture of the tibia is very important in loadbearing region of human body and its fractures are 1% prevalent from all fractures, and its treatment is very difficult. The treatment results for plateau fractures of the tibia are conflicting.[9] Closed decrease (in light of ligamentotaxis standards) and fixation Though, it is not appropriate for a wide range of plateau fractures of the tibia, especially grossly comminuted and strongly depressed and open fractures.[10] Insignificantly intrusive strategy of closed reduction by ligament axis and fixation by percutaneous screws consolidates attributes to both operative and un operative is more logical and gives good and useful results.[11] Subsequently in lights of these advantages, we present our clinical results for this method. Patients were not allowed for weight bearing till evidence of healing clinically and radiologically
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