Functional And Radiological Outcomes In Intra-Articular Fractures Of Proximal Tibia: A Prospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background: Proximal tibia fractures are complex injuries associated with a high incidence of soft tissue complications. Its management is determined by the type of fracture and its outcome requires an aggressive approach towards the patient.This study assesses the outcome of closed proximal tibia fracture managed by internal fixation (ORIF). Aims and Objectives: To evaluate the outcome of various treatment modalities in tibial condylar fractures and to study the advantages and disadvantages of surgical treatment, comparing treatment modalities and finding management strategies, depending on type and displacement of fractures. Study Design: Prospective type Materials and Methods: 30 consecutive closed tibial plateau fractures were included in this study. All fractures were classified according to Schatzker classification. There were 24 men and 6women. The study was conducted between August 2012 and October 2014 at the Department of Orthopaedics, Bowring and Lady Curzon Hospitals, Bangalore after the Ethical committee approval. The final outcome was assessed using the Rasmussen's score. The results were analyzed using different parameters; male vs. female, age distribution, mode of trauma, functional outcomes and complications etc. Results and Conclusion: The average age was 40.52 years with the fracture being more common in the 3rdto 5th decades. 68 % sustained fracture due to road traffic accident. The average time of interval for fracture union was 3.87 months in case of conservativemethod (n=6); 3.33 months in CR – IF with cannulated screws (n=8) and 3.81 months for OR – IFwith buttress plating (n=16). Thus, the average time of union for CR-IF was shorter than for OR-IF which shows the importance of preserving fracture site hematoma. 2 patients had infections and loss of reductions each, 2 knee stiffness, 3 osteoarthritis and 1 malunion with no non-union.
Authors and Affiliations
Abhjit Patil, Karan Shetty, Suresh Gondkar, Pradeep H
Keywords
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