Evaluation of results of surgical management of lateral tibial condyle fractures using locking compression plate
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 1
Abstract
Introduction Tibial plateau fractures are the common injuries that may be associated with poor outcomes and a high rate of complications The problem rise significantly in high energy trauma and severe soft tissue injuries Locked compression plating system has clear biomechanical advantages and avoids iatrogenic tissue damage when compared with conventional plating The purpose of surgical management is to restore and preserve normal knee function It can be accomplished by anatomical restoration of articular surfaces maintaining mechanical axis restoring ligamentous stability and preserving a functional pain free range of motion of kneeMaterials and Methods This is a prospective study of 36 patients with tibial plateau Schatzker type I II and III fractures fixed with lateral locking compression plate over lateral surface of tibia and followed for a minimum period of 6 months and evaluated by using Rasmussen knee score systemResults All patients were followed properly but two patients were lost to follow up so only remaining 34 patients were finally evaluated for functional outcome Mean age of patient was 388 years with range of 19 to 70 years All fractures united by average of 175 weeks range 1425 weeks with delayed union observed in 6 cases Three patients had wound dehisence three varus deformity one deep vein thrombosis four arthritis and five cases of each knee joint pain amp stiffness According to Rasmussens scoring system 5294 patients had excellent results 3235 patients had good 822 fair and 588 poor resultConclusions Locking plates are good option for lateral tibial condyle fractures with minimum complications Anatomical reduction can be easily maintained with locking plates which also helps in early mobilization and hence obtaining good functional outcome in tibial condylar fracturesKeywords Tibial plateau fractures Schatzker type I II and III classification Locking compression plate Rasmussen knee score
Authors and Affiliations
Govind Kumar Gupta, Sudha Rani, Rajkumar
Keywords
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- EP ID EP476586
- DOI 10.18231/2395-1362.2018.0016
- Views 91
- Downloads 0
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