Results of open reduction and internal fixation by plate osteosynthesis in tibial plateau fractures

Abstract

Background: Open reduction and rigid internal fixation for displaced tibial plateau fracture achieves the goals of restoring the anatomic articular congruity and mechanical alignment, while allowing early knee mobilization. But open reduction and internal fixation, specifically through compromised soft tissues, improperly placed incision and soft tissue handling has historically been associated with major wound complications. Alternate methods of treatment have been described, each with its own merits and demerits. Aims and Objectives: To study the, results, and complications of open reduction and internal fixation by plate osteosynthesis for tibial plateau fractures. Method: 21 patients treated with open reduction and plate osteosynthesis were followed up for a period of 18 months and their functional outcome was assessed according to Modified Delamarter functional scoring system. Results: According to Modified Delamarter functional scoring system we had 67% excellent to satisfactory result and 9% poor results due to non union at the fracture site. Conclusion: Displaced tibial plateau fractures need optimum treatment in order for patients to return to early productive life. Surgical treatment when indicated is advantageous to get stable knee. We found out that surgical treatment with adequate physiotherapy can give good results in tibial plateau fractures. Keywords: Plate osteosynthesis, Tibial plateau, Fracture, Knee joint, Functional outcome