A Novel Technique of Biological Osteosynthesis in a Bicondylar Tibial Fracture
Journal Title: Journal of Medical Research and Surgery - Year 2022, Vol 3, Issue 1
Abstract
Purpose: To evaluate the biological treatment outcomes for tibial plateau fractures. Methods: 8 men and 4 women aged 21 to 54 (mean, 36) years with closed tibial plateau fractures were enrolled for the study. According to the Schatzker classification, patients were classified into type I (n=1), type II (n=2), type IV (n=4), and type V (n=5). After closed reduction the fracture was fixed with two to three 6.5 mm cannulated cancellous screws and crossed K wires.The functional outcome was evaluated using the Rasmussen score. A total score of 28 to 36 was considered as excellent, 20 to 27 as good, and less than 10 as poor. Results: Patients were followed up for a mean of 2.2 (range, 1-3.4) years. All the fracture united radiographically after a mean of 3 (range, 2.3-4.3) months. Respectively in Schatzker types-I, II, IV, and V fractures, outcomes were excellent in 1, 2, 3, and 3 patients, It was good in 0, 0, 1, and 1 patients, fair in 0, 0, 0, and 1 patient, and poor in 0, 0, 0, and 0 patients. Outcome was satisfactory (good-to-excellent) in 85%, 86%, 100%, and 80% of the respective fracture types of patients. The mean Rasmussen score was 26.7 for all patients; it was 27.7 for type I, 26.5 for type II, 28.9 for type IV, and 24.4 for type V fractures. No infection, wound dehiscence or hardware issues were noted. Conclusion: This technique offers improved fracture healing without any risk of soft tissue complications, minimising the hospital stay and expenditure.
Authors and Affiliations
Yogesh Sharad Salphale*, Nitin Kimmatkar, Vikrant G. Salphale, Wasudeo Gadegone, Rabi Mohapatra, Anuradha Y. Salphale, Jenny Garg, Ketaki Mohite
Keywords
Related Articles
- EP ID EP699933
- DOI 10.52916/jmrs224067
- Views 78
- Downloads 0
A Novel Technique of Biological Osteosynthesis in a Bicondylar Tibial Fracture
Purpose: To evaluate the biological treatment outcomes for tibial plateau fractures. Methods: 8 men and 4 women aged 21 to 54 (mean, 36) years with closed tibial plateau fractures were enrolled for the study. Accordin...
Acute Ischemic Stroke in a Young Woman with an Otherwise Asymptomatic SARS-CoV-2 Infection
It was well-observed that SARS-CoV-2 may cause a hypercoagulable state in hospitalized patients. Often these hospitalized patients exhibit severe upper respiratory symptoms with hypoxia, requiring high amounts of oxygen...
Use of External Approach for Severe Genu Valgo Knee Arthroplasty
The deformities of the lower limbs (genu valgus and genu varus) are alterations frequently developed properly by physiological processes which usually disappear at 2 years (genu varus) and at 7-8 years (genu valgus), bei...
Awareness and Perception of Cardiopulmonary Resuscitation (CPR) among Young Adolescents in Riyadh: A Cross-Sectional Study
Cardiopulmonary Resuscitation (CPR) is a critical medical emergency procedure that should be known by as many people as possible. This research was conducted on young adolescents to discover their awareness and perceptio...
Training Communication Skills During COVID-19 Pandemic as a Part of Educational Process in Dental Medicine
Introduction: The training of dental students in communication skills has been faced with a new challenge related to the limitations of COVID 19. Obtaining informed consent and deciding on the need for treatment are part...