Functional outcome of tibial plateau fractures: A prospective study
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 5, Issue 2
Abstract
Background: Knee is commonly injured joint now a day because of increased vehicular trauma and sports activities. We started our study using different methods for treatment of these fractures and studied the effectiveness of the different modalities of these treatments. Material and Method: This is a prospective study, which includes 88 cases having proximal tibial fracture. The fractures were classified using Schatzker‟s classification. Operative patients were evaluated for one year, with serial x-rays at 1,2,3,6 and 12 months. The results were evaluated using the functional grading of Rasmussen scoring system. Result: Out of 88 operated patients of proximal tibia fracture. TYPE 1 (25%) and TYPE 2 (25%) had good to excellent results, TYPE 3 (14.77%) had good results, TYPE 4 (10.23%) had excellent result, TYPE 5 (13%) and TYPE 6 (10.23%) had fair to good result. Postoperative infections were noted in 13 patients of TYPE5 and TYPE6 where severity of injury was high and landed up with stiffness of joint. Assessment was done using the Rasmussen scoring system. Conclusion: In our study TYPE 1 and TYPE 2 was the most common type of fracture pattern. Result of various type of surgeries were good to excellent for various types of fracture pattern except when complications developed in elderly patients of TYPE 5 and TYPE 6 fracture pattern in the form of infection and stiffness. Medial side buttress plating is always desirable in bicondylar fracture pattern with unstable medial condyle, to prevent delayed medial collapse and undesirable varus deformity.
Authors and Affiliations
Nishant Panegaon, Vinay Patil, Lalit Kumar Joon
Keywords
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