SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURE - A PROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 38
Abstract
[b] BACKGROUND[/b]: Tibial plateau fractures are common injuries of the proximal tibia which vary in severity from minimally displaced stable injuries to high energy complex fractures. The emphasis in treating theses fractures are anatomical restoration of fracture surface repair of soft tissue injury. Rigid fixation to obtain a stable painless knee with normal range of motion. [b]METHODOLOY[/b]: 60cases of tibial plateau fractures treated by various modalities were studied from June 2011 to June 2013 at our institution and followed for minimum of 6 months. The functional evaluation of knee joint graded by modified Hohl and Luck criteria. 33 patients underwent PCCS fixation. 3patient underwent ORIF with BP. 21 patients underwent ORIF with BP and bone graft 3 patient was treated with Ilizarov ring external fixator. [b]RESULTS[/b]: The selected patients were evaluated clinically and radiologically. The indicated fractures treated as per the Schatzker’s types. Accordingly with CRIF and percutaneous cannulated cancellous screws, ORIF with buttress plate with or without bone grafting and external fixator were used. We were able to achieve 50% of excellent result, 40% of good result (overall 90% acceptable results) with our standard surgical care using various fixation methods. In addition we had 10% poor results in terms of functional outcome. [b]CONCLUSION[/b]: Surgical management of tibial plateau fractures will give excellent anatomical reduction and rigid fixation to restore articular congruity, facilitate early motion and reducing post-traumatic OA and there by achieving an optimal knee function.
Authors and Affiliations
Rangappa Chavadaki, Neelkanta S
Keywords
Related Articles
- EP ID EP101064
- DOI 10.14260/jemds/1302
- Views 57
- Downloads 0
TIBIAL PLATEAU FRACTURES – SURGICAL MANAGEMENT BY MIPPO
[b]BACKGROUND AND OBJECTIVES[/b]: Tibial plateau fractures are one of the most common intra-articular fractures. They are the outcome of indirect coronal or direct compressive forces. The incidence of tibial plateau...
THE ROLE OF XANTHINOL NICOTINATE WITH HEPARIN AND DEXTRAN-40 IN POST TRAUMATIC ARTERIAL REPAIR CASES WHERE IMMEDIATE DISTAL PULSATION IS ABSENT: A PROSPECTIVE STUDY IN 150 CASES PRESENTING MORE THAN 10 HOURS POST INJURY
[b]OBJECTIVE:[/b] The therapeutic role of Xanthinol nicotinate along with Heparin and Dextran-40 was studied in the management of 150 patients in whom distal pulsations were not felt immediately post arterial repair...
CLINICAL CHARACTERISTICS AND MANAGEMENT OF Rh-D HAEMOLYTIC DISEASE OF NEWBORN
BACKGROUND In Rh-D haemolytic disease of foetus and newborn (HDFN), newborns can be severely affected, thereby associated with extensive morbidity and mortality. Aim- The aim of this study is to describe the clinical pro...
A CLINICAL PROFILE OF TUBERCULOSIS IN CKD PATIENTS AND THE RESPONSE TO MODIFIED ATT
BACKGROUND Tuberculosis (TB) is one of the major causes of mortality across the world. Patients with CKD are at high risk of developing TB due to the immunosuppressive effects of uraemia. There is limited information on...
CENTRAL RETINAL VEIN OCCLUSION
BACKGROUND CRVO is a retinal vascular occlusive disorder seen commonly in older adults and is often associated with systemic vascular disease. The patient usually presents with unilateral painless loss of central vision....