Management of bicondylar fracture tibia by bicolumnar plating: An observational study
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 4
Abstract
Background: The fractures of proximal tibia particularly those that extended into the knee joint are termed as tibial plateau fractures. Bicondylar fractures are less common and are more difficult to treat due to complexity of configuration and associated soft tissue injuries. Schatzker type V and VI fractures are high-energy fractures often accompanied by other injuries and complications, such as postoperative inflammation, wound problems and infections. They tend to have a poor prognosis. Various surgical approaches and fixation techniques have been developed to treat Schatzker type V and VI fractures. Aim and objectives: To evaluate the functional outcome of bicolumnar plating in the management of bicondylar fracture tibia. Methodology: The study was conducted among 30 consecutive patients with SCHATZKER’S TYPE V and VI bicondylar fracture tibia. All the patients were evaluated subjectively, clinically and radiologically at subsequent follow ups. Results: The mean age among patients was 41.38 ±12.37 years. The male: female ratio was 2.75. Among 30 patients; 5 (16.67%) had Diabetes Melliteus while 3 (10%) had hypertension. 70% patients were in Class V and 30% patients were in Class VI. Mean duration of surgery from time of injury was 7.89 ±3.98 days. Mean hospital stay in patients was 13.16 ±3.69 days. Mean time for union in patients was 12.18 ±4.83 weeks. 6.67% patients had malunion. The functional outcome was 83.33%, 10%, 6.67% and 3.33% excellent, good, fair and poor respectively according to Knee Society score. Discussion and conclusion: The bicolumnar plating fixation is the best, effective and simple procedure in treatment of complex bicondylar fracture tibia. (Types V and VI of Schautzker classification
Authors and Affiliations
Santosh Kulloli, Rohan Kore, Sunil Patil
Keywords
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