Management of tibial plateu fractures in a tertiary care hospital
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 7, Issue 1
Abstract
Background: Tibial plateau fractures remain challenging because of their number, variety and complexity. The indications for non-operative versus operative treatment vary widely in literature. Different surgeons have advocated different treatment protocols, some in support of conservative and some against. Aim: To compare the surgical management of tibial plateau fractures with percutaneous CC screw fixation (PCCS), ORIF with plating and CC screw (PF + CC screw) fixation and universal mini external fixator (UMEX). Material and Methods: A total of 30 cases with closed tibial plateau fractures were grouped as Group 1 (n=10): Percutaneous CC Screw Fixation, Group 2 (n=10): ORIF with CC Screw and Plate Fixation and Group 3 (n=10): CREF with External Fixator (UMEX). Their radiological and functional outcomes were compared. Results: The average time of radiological union for PCCS was 13 weeks, for PF+CC screw fixation was 16.2 weeks and for UMEX (n=10) was 15.6 weeks. Mean Rasmussen’s functional score was 24.866.For the PCCS group, PF + CC screw and for the group UMEX group was 27.000, 23.800 and 23.800 respectively. Our observations showed that good functional results can be expected in patients with tibial plateau fractures, treated with PCCS. Conclusion: Near anatomical restoration of the articular surface of the tibial plateau fracture can be achieved with PCCS or with PF + CC screw fixation. All the three techniques used for the treatment of tibial plateau fracture have their own advantages and drawbacks as they are limited to the pattern of the fracture and its extent.
Authors and Affiliations
Rahul Salunkhe, Ashwin Deshmukh, Sanjay Deo, Sachin Sonawane, Saurabh Damdhere
Keywords
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