Abstract
Introduction: Tibial plateau fractures form a wide spectrum of injuries accounting for 1.2% of all fractures and a prevalence of 10 cases per 100,000 inhabitants. Methodology: A prospective consecutive multicentre study from May 2018 to May 2021 was carried out in Yaounde. All consenting cases of tibial plateau fracture underwent surgical treatment while patients with pathologic fractures, previous knee osteoarthritis, medically unfit for surgery, and discharging against medical advice were excluded. Data was analysed with SPSS 26.0 and the level of significance set at p<0.05. Results:Eighty-four (84) cases of tibial plateau fractures were sampled and 68 consented to surgery. The mean age was 42 ±13.6 years and sex ratio 2.4. Estimated prevalence was 2.2 cases per 100,000 inhabitants. Schatzker type II fractures were most represented (33.3%). The left leg was affected in 57.1%. Motorbike accidents were the main cause of injury (66.7%). Of the 68 operated, 63.3% by plating osteosynthesis, 32.4% by external fixation, and 4.4% by screws fixation. Tricortical iliac bone graft was realised in 4 cases. The minimum follow-up was 6 months, with a median of 18 months (5 to 37 months). Plating osteosynthesis (p<0.001), operative time between 60 to 120 minutes (p<0.02) and a good radiologic fracture healing (p<0.04) were associated with a satisfactory outcome. Poor prognosis was seen with open fractures (p<0.001), bridging external fixation (p<0.001), and Schatzker VI fractures (p<0.02). Complications included post-traumatic osteoarthritis (64.7%), post-traumatic osteomyelitis (29.4%), knee ankylosis (5.9%), and limb malalignment (30.9%). Conclusion:The prevalence of tibial plateau fractures remains lower than reported in literature but it is projected to rise. Plating remains a viable treatment option. A larger scale study will establish the burden of this entity in our context.
Highlights
Tibial plateau fractures form a wide spectrum of injuries *Correspondence to Author: accounting for 1.2% of all fractures and a prevalence of 10 cases per Daniel Handy Eone100,000 inhabitants
Data was analysed with SPSS 26.0 and the level Asoh, Ernest Kikah Ndifor, Mbaga of significance set at p
The treatment of other concurrent fractures was We conclude that the management of carried out in 20.6% of the population
Summary
Tibial plateau fractures form a wide spectrum of injuries *Correspondence to Author: accounting for 1.2% of all fractures and a prevalence of 10 cases per Daniel Handy Eone100,000 inhabitants. Tibial plateau fractures form a wide spectrum of injuries *Correspondence to Author: accounting for 1.2% of all fractures and a prevalence of 10 cases per Daniel Handy Eone. All consenting cases of tibial plateau fracture underwent surgical treatment while patients with pathologic fractures, previous knee osteoar- How to cite this article: thritis, medically unfit for surgery, and discharging against medical ad- Daniel Handy Eone, Itambi Maxwell vice were excluded. Tibial plateau fractures form a wide spectrum of tibial plateau fractures. These patients were reinjuries of the proximal tibia presenting varying cruited upon admission in the emergency dechallenges with a prognosis that is largely de- partments of five level 2 trauma centres in Yapendent on the management of each particular ounde.
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