A CLINICAL STUDY ON FUNCTIONAL OUTCOME AFTER COMBINED ARTHROSCOPIC AND FLUOROSCOPIC ASSISTED REDUCTION AND INTERNAL FIXATION OF CLOSED TIBIAL PLATEAU FRACTURES IN ADULTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 24
Abstract
BACKGROUND AND INTRODUCTION: Management of tibial plateau fractures had witnessed tremendous improvement in surgical techniques over the past decades. Conservative treatment of these fractures results in consistently poor results. The present literature supports that absolute anatomical reduction and stable fixation of peri articular fractures followed by early post-operative rehabilitation is crucial for good results. And if this is achieved by minimal damage to soft tissue the results are much better. In this study it is achieved by arthroscopy and fluoroscopy. MATERIALS AND METHODS: We have conducted a prospective study between September 2009 to august 2013 including 9 patients with tibial plateau fractures treated with combined arthroscopic and fluoroscopic reduction and internal fixation with or without bone grafting. And then the radiographic and functional evaluation done. RESULTS: According to Hohl’s clinical and radiographic scoring systems 4 patients were assessed excellent, 3 good, 2 fair. According to Rasmussen’s clinical scoring system 4 patients excellent, 3 good and 2 fair results. CONCLUSION: The use of arthroscopy and fluoroscopy in the management of tibial plateau fractures results in good outcome. It also helped to simultaneously treat the meniscal injuries. But its use is mainly limited to Shatzkar type1, 2, 3, 4.
Authors and Affiliations
Bhavani Prasad T, Sasibushan Reddy B, Sandeep Saraf, Harish K, Dinesh Kumar T
Keywords
Related Articles
- EP ID EP229165
- DOI 10.18410/jebmh/2015/519
- Views 69
- Downloads 0
RARE ASSOCIATION OF MOUNIER-KUHN SYNDROME WITH PANLOBULAR EMPHYSEMA
PRESENTATION OF CASE Mounier-Kuhn Syndrome (MKS) is an unwonted disorder of obscure aetiology signalised by constellation of marked tracheal dilatation, tracheal diverticulum and associated bronchiectasis. Its pathogenes...
EFFECTIVENESS OF SEPRAFILM AS ADHESION BARRIER FOLLOWING ABDOMINOPELVIC SURGERY- AN EXPERIMENTAL STUDY
BACKGROUND Postoperative adhesions form one of the most common complication following abdominopelvic surgeries. The consequence of adhesion leads to lifelong morbidity and form major burden in surgeons operating for the...
TO EVALUATE CLINICALLY THE OUTCOME OF LICHTENSTEIN REPAIR FOR INGUINAL HERNIA IN A TERTIARY CARE CENTRE
BACKGROUND The first hernia repair was done by Bassini 100 years ago and all the next surgical methods and their modifications use a suture of the tissues under the tension. Lichtenstein technique challenged the concept...
SQUAMOUS CELL CARCINOMA OF EYELID MASQUERADING AS BASAL CELL CARCINOMA
The main malignant tumors affecting the eyelid are Basal cell carcinoma (BCC), Sebaceous gland carcinoma (SGC), Squamous cell carcinoma (SCC), and Malignant melanoma (MM) in that order of frequency in Asia. SGC and BCC f...
FATAL BUNGEE JUMP: A CASE REPORT
As more and more people seek for excitement out of their routine works, extreme sports have become a popular activity. Among which, bungee jumping is obviously one of the famous and thrilling one. Since the promotion of...