FTP1.6 Epidemiology of Medial Tibial Plateau Fractures and Factors Associated with its Outcomes

Abstract

Abstract Background Medial tibial plateau fractures (TPFs) are reported to be difficult to treat and are subject to higher levels of postoperative complications. The aim of the study was to evaluate the results of management of medial and bicondylar TPFs and determine the factors influencing its outcomes. Method 143 patients with TPFs were included in this study during a total period of 6 years. The groups were divided into medial TPFs (B-type) and bicondylar TPFs (Ctype), according to the AO/OTA Classification and Schatzker Type IV, V and VI classification. Patient information including basic demographics, duration of followup, mechanism of injury, comorbidities, management, and post-operative complications were included in this study. Analysis of this data was done to determine a correlation between the outcomes of both fracture groups. Results The mechanism of injury profile showed no significant difference with high energy trauma seen in 48% of B-type and 59% in C-type fractures. Age has no influence on the fracture outcomes. Most patients in both groups were mainly treated with ORIF. The incidence of infection, compartment syndrome and post-traumatic arthritis are higher in bicondylar TPFs compared to medial TPFs, with a similar number of patients with CPN Palsy in both groups. No significant difference was found between both fracture types in every aspect of patient information that was compared in this study. Conclusion The outcomes of medial TPFs are similar to bicondylar TPFs in terms of complication rates, even though one would generally assume medial TPFs to be less severe than bicondylar TPFs