Study of functional outcomes in proximal tibia intraarticular fractures (Schatzker’s type-5 and type-6) treated by various surgical modalities
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 3
Abstract
Objective: To assess the functional outcome of proximal tibia intraarticular fracture by different modalities. Method: The study evaluated 30 patients with Schatzker’s type 5 and 6 intraarticular proximal tibia fracture and the final assessment was done at 6 months using Modified Hohl and Luck knee scoring system. Results: Functional grading was done based on modified knee scoring system of Hohl and Luck (1956). In the final assessment, 13.3% had range of movement between 90 and 120 degrees and 6.7% had range of motion between 75 and 90 degrees. 4% were unable to walk more than 100 meters and all others were able to walk without much pain. Considering all parameters, the total pain score was assessed. 80% patients had no pain, 13.3% had mild pain and 6.7% had moderate pain. Functional results were excellent in 80%, good in 13.3%, fair in 6.7%. Conclusion: The present study has shown that the final rating of outcome was dependent on the comorbidity, age of patient, time interval between injury and surgery. Bi condylar fractures can be effectively treated by open reduction and fixation with lateral locking plate Bone grafting after elevation of the depressed fracture is always advisable as it gives a good anatomical and functional outcome. Post operative wound breakdown and infection is a major complication.
Authors and Affiliations
Raghav Garg, Mangesh Panat, Abhimanyu O Kakralia
Keywords
Related Articles
- EP ID EP204989
- DOI -
- Views 77
- Downloads 0
Study of cytomorphological features of hashimoto’s thyroiditis and their correlation with serological findings
Introduction: Hashimoto’s thyroiditis is an autoimmune disease that most often affects middle aged females. This study highlights the cytomorphological featuserological findings. Res of HT and helps to define a grading c...
Comparative study of anemia cases based on peripheral blood smears and cell counter generated red cell indices
Background: Analyzing peripheral blood smears routinely has facilitated interpretation of various hematological disorders and has been a major diagnostic tool. The advent of automated hematology cell counter has improved...
To study prevalence of sexually transmitted diseases in HIV positive women with vaginal discharge
Background: HIV is a matter of worldwide concern. Every day, an estimated 5,700 people are infected with HIV, and more than 1 million contract a sexually transmitted infection (STI). The prevalence of gynecological sympt...
Analysis of visceral injuries in blunt abdomen trauma
Introduction: The incidence of abdominal trauma makes trauma as one of the leading causes of acute abdomen in the day to day surgical practice. It accounts for the majority (80%) of abdominal injuries seen in emergency d...
Role of internal iliac artery ligation in postpartum haemorrhage
Postpartum haemorrhage in pregnancy is the leading cause of maternal mortality in developing countries. An estimated blood loss in excess of 500 ml following vaginal birth or loss of greater than 1000 ml following caesar...