Abstract
Background and Aim: Tibial plateau fractures are challenging, attributing to the fact of their increased incidence, complexity, associated complications, and availability of different treatment options. In this study we evaluated the functional outcome after treatment of tibial plateau fractures by internal fixation. Material and Methods: This retrospective study was conducted on 44 patients who had undergone surgery for tibial plateau fractures over a period of 2 years. All patients were operated under suitable anaesthesia and tourniquet. In all patients, parapatellar approach (medial or lateral) was preferred. Once fracture site was exposed, depression and displacement was noted by elevating the meniscus. Type I Fracture: Percutaneous cannulated cancellous screws under image intensifier guidance were used. Type II Fracture: A lateral parapatellar approach was used. Functional Evaluation was: Knee Range of movements and ability to do day to day activities. Results: There were 13 patients in the age group of 21-30 years, 11in the age group 31-40 years, 9 in the age group 41-50 years, 11 in the age group 51-60 years. Out of 44, 11 were found to be females while 33 were males. Among all, 19 had excellent, 17 had good, 4 had fair and 4 had poor functional outcome. Conclusion: Treatment of tibial plateau fractures is a difficult task. Restoration of articular congruity and early rehabilitation is the primary goal. Proper preoperative planning and adequate reduction will help to achieve early mobilization and optimal functional outcome. The techniques demand considerable skill and timely and proper judgment. Keywords: Internal fixation, Mobilization, Surgery, Tibial plateau
Highlights
Tibial plateau fractures are challenging, attributing to the fact of their increased incidence, complexity, associated complications, and availability of different treatment options
Tibial plateau fractures occur due to a combination of axial loading and varus/valgus applied forces leading to articular depression, malalignment and an increased risk of posttraumatic osteoarthritis (OA) Tibial Plateau fractures vary from being simple undisplaced fractures to severely communited fractures with compartment syndrome
In this study we evaluated the functional outcome after treatment of tibial plateau fractures by internal fixation
Summary
Tibial plateau fractures are challenging, attributing to the fact of their increased incidence, complexity, associated complications, and availability of different treatment options. The goal is to obtain a stable joint permitting early range of motion for cartilage nourishment and preservation.[1] various treatment modalities have been used over the years, with mixed results. These include traction or closed treatment with cast bracing.[2] Surgical procedures including circular frames percutaneous screw fixation open reduction/internal fixation (ORIF) and arthroplasty have been advocated.[3,4,5,6,7] More recent techniques such as the use of fixed angle devices, arthroscopicallyassisted reduction, calcium based cement augmentation and the use of novel grafting methods to address articular depression], constantly gain popularity amongst orthopaedic surgeons. Conclusion: Treatment of tibial plateau fractures is a difficult task
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