Evaluation of Functional Outcome in Patients with Tibial Plateau Factures using Minimally Invasive Techniques with or without Calcium Hydroxyapetite Blocks
Journal Title: Journal of Contemporary Medicine and Dentistry - Year 2017, Vol 5, Issue 2
Abstract
Background: The purpose of the present study is to evaluate the functional outcome in patients with tibial plateau factures using minimally invasive techniques with or without calcium hydroxyapetite blocks. Material and Methods: 24 patients with displaced tibial plateau factures (>2mm) were treated using minimally invasive techniques from June 2015 to June 2017. All the patients were assessed clinically for functional outcome of knee using Rasmussen score and radiographically for degree of maximal joint depression using J. F Keating et al criteria. Results: The mean follow up was 10.9 month (8-16). At 8 month follow up the mean range of flexion was 127 degrees with no loss of extension. Modified Calcium Hydroxyapatite was used as bone void filler in 14 patients. Quality of reduction in depressed plateau factures was excellent in 50%, satisfactory in 43% and poor in 7% at 8 months follow up. Overall the functional result using Rasmussen’s criteria were acceptable in 92% of cases. All the patients in our series showed union with average time for union being 14.7 weeks. Conclusion: Minimally invasive surgeries have the advantage in that is allows anatomic reduction, allows early knee mobilization while minimizing the soft tissue dissection thus preserving the vascularity of fracture bone. Modified calcium hydroxyapatite is a useful alternative to autologous bone graft for the fractures of tibial plateau.
Authors and Affiliations
Ashish Agarwal, Prashant N Gedam, Anuj D Bharuka, Rajendra Phunde, Hiren B Patel
Keywords
Related Articles
- EP ID EP446163
- DOI -
- Views 126
- Downloads 0
An Epidemiological Study of Bacterial Isolates from Oral Cavity of Medical Students and its Antimicrobial Resistance Pattern
Objective: Isolation and identification of bacteria from the oral cavity of Medical students and teaching staff and determination of antibiotic sensitivity test of the pathogenic isolates. Methods: From October 2016 to M...
Oral Hygiene Awareness in Implant Patients
Background: The level of awareness about implant and oral hygiene is low among the patients in Indian community and the source of information plays a key role in improving the level of awareness about dental implants and...
Clinico-Microbiological Correlation of Vaginal Discharge
Aims and Objectives: To establish clinical diagnosis of vaginal discharge and the type of vaginitis, to confirm the type of vaginitis with the help of microbiology of vaginal discharge and to establish clinico-microbiolo...
Button hole, Single stitch, Non-laparoscopic Appendectomy in a Tribal District Hospital, Advantage over Laparoscopy
Background: The purpose of the study is to analyze, feasibility, utility and advantage of using Single Stitch Non-Laparoscopic Appendectomy for patients with acute appendicitis in a Hospital located in Tribal District. M...
Sensitivity and Specificity of ELISA in Detection of Microfilariae
Background: Filariasis is a global problem and India has a major burden of disease in states like Andhra Pradesh, Odisa, Tamil Nadu, Kerala, Bihar and Uttar Pradesh. We tried to evaluate the Sensitivity and Specificity o...