English

Abstract

ABSREACT: BACKGROUND: Tibial plateau fractures are common injuries of the proximal tibia which vary in severity from minimally displaced stable injuries to high energy complex fractures. The emphasis in treating theses fractures are anatomical restoration of fracture surface repair of soft tissue injury. Rigid fixation to obtain a stable painless knee with normal range of motion. METHODOLOY: 60cases of tibial plateau fractures treated by various modalities were studied from June 2011 to June 2013 at our institution and followed for minimum of 6 months. The functional evaluation of knee joint graded by modified Hohl and Luck criteria. 33 patients underwent PCCS fixation. 3patient underwent ORIF with BP. 21 patients underwent ORIF with BP and bone graft 3 patient was treated with Ilizarov ring external fixator. RESULTS: The selected patients were evaluated clinically and radiologically. The indicated fractures treated as per the Schatzker’s types. Accordingly with CRIF and percutaneous cannulated cancellous screws, ORIF with buttress plate with or without bone grafting and external fixator were used. We were able to achieve 50% of excellent result, 40% of good result (overall 90% acceptable results) with our standard surgical care using various fixation methods. In addition we had 10% poor results in terms of functional outcome. CONCLUSION: Surgical management of tibial plateau fractures will give excellent anatomical reduction and rigid fixation to restore articular congruity, facilitate early motion and reducing posttraumatic OA and there by achieving an optimal knee function.