Evaluation of functional and radiological outcome of tibial plateau fractures Schatzker type V and VI treated with dual plating
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
Objective: High-energy tibial plateau fractures remains a challenge to orthopaedics surgeons, with the bicondylar type (Schatzker type V) and the comminuted type (Schatzker type VI) fractures being the most difficult to treat. Treatment goals of high-energy tibial plateau fractures are to restore the joint stability, congruity, and alignment with minimal soft tissue dissection to allow early joint motion and weight bearing. However, these aims may be difficult to achieve because of the high complication rates and the poor outcomes associated with the surgical treatment in literature, there are multiple modalities of treatment for tibial plateau fractures and the literature has not definitively established a standard for the type of fixation. But there has been a growing support and evidence that dual plating is required in high energy bicondylar tibial plateau fractures. In this study, we evaluated functional and radiological outcomes of 30 patients with high-energy tibial plateau fractures (Schatzker type V and type VI) treated with the double-buttress plate fixation through a medial and a lateral incisions using Rasmussen’s functional & anatomical grading system. Material and mathods: 30 patients (26 males and 4 females) with type V and VI Schatzker tibial plateau fractures (10 case were type V and 20 case were type VI) were treated by double-buttress plate fixation through a medial and a lateral incisions between august 2013 to august 2016 at deen dayal upadhyay hospital, New Delhi. Functional and radiological outcomes evaluated by using Rasmussen’s functional & anatomical grading system. Results: according to Rasmussen’s functional & anatomical grading system results were as follows; functional outcome were excellent in 10 patients(33.33%),good-18 patients (60%), fair-2 patients (6.7%) with mean score 25.17±2.95 and radiological outcome excellent in 19 patients(63.33%),good-11 patients (36.67%) with mean score of 16.80±1.79 Conclusion: double-buttress plate fixation through a medial and a lateral incisions is an excellent treatment option as it provides stable and rigid fixation and restore the joint stability, congruity, and alignment with minimal soft tissue dissection to allow early joint motion and weight bearing stable. These fractures are commonly associated with posteromedial fragment and fixation of fractured fregment during treatment of these fractures has a major role to play to resist rotational forces and prevention of varus deformity and malunion.
Authors and Affiliations
Dr. Shyam S Khatr, Dr. Khushwant Singh Rathore, Dr. VK Goyal, Dr. Jaiveer Yadav
Keywords
Related Articles
- EP ID EP500620
- DOI 10.22271/ortho.2017.v3.i2c.23
- Views 130
- Downloads 0
Comparison of femoral foot prints in acute V/S chronic ACL injury
The aim of this study was to determine if there is a difference in the presence of the femoral footprints (lateral intercondylar ridge and the lateral bifurcate ridge) between patients with acute and chronic ACL injuries...
Comparative study on fixed versus adjustable-length loop device for femoral fixation of graft in anterior cruciate ligament reconstruction
Aims and Objectives: Cortical suspension devices have been widely used in ACL reconstruction for femoral side graft fixation. Fixed-length and adjustable-length loop devices are two common suspensory loop devices that ar...
Clinical profile of patients with unstable distal radius fracture
There are increasing reports of distal radius fractures suggesting that they are frequently articular injuries resulting in disruption of both radio carpal and radio ulnar joints and profoundly affecting the wrist of gre...
AO type C distal femur fracture: results of operative management in 52 patients
Background: Intraarticular distal femur fractures are severe injuries posses many challenges in management and associated large number of complications like infection, knee stiffness, delayed union, nonunion, instability...
A systematic review of the effect of open and closed kinetic chain exercises on the vastus medialis oblique and vastus lateralis muscles of patients with patellofemoral pain syndrome
Objectives: The purpose of the present study is to review the existing literature regarding the response of the vastus medialis oblique (VMO) and vastus lateralis (VL) muscles of patients with patellofemoral pain syndrom...