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
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