Surgical management of proximal tibia plateau fracture: 4 year prospective study
Journal Title: National Journal of Clinical Orthopaedics - Year 2017, Vol 1, Issue 1
Abstract
Introduction: Tremendous advance in mechanization and fastness of travel have been accompanied by steep increase in number and severity of fractures and those of tibial plateau are no exception. Knee being one of the major weight bearing joints of the body, fractures around it will be of paramount importance. Materials and Methods: A 4 year prospective study was conducted, to know the functional outcome in operatively treated tibial plateau fractures in adults were included from blde university Vijayapura. The total number 60 patients. Results: Out of 60 cases treated with surgical procedure, 39 cases gave excellent result, 12 cases came out with good result, fair in 3 case and 3 case had poor result, mainly due to the severity of the injury and infections. It was found that high velocity injuries (type IV - VI) have poor outcome than low velocity injuries (type I-III) 4. All fractures united within expected time. Not a single case of nonunion was noted in our series. Average time for union was 14 weeks (range 10-22 weeks). The three cases had wound infection two had stiffness of the knee joint and one case had malunion. Conclusion: We conclude that the functional outcome is good in operatively treated tibial plateau fractures in adults. The surgical management of tibial plateau fractures is challenging and gives excellent anatomical reduction & rigid fixation to restore articular congruity, fascilitate early knee motion by reducing post-traumatic osteoarthritis and thus achieving optimal knee function.
Authors and Affiliations
Amit Patel
Keywords
Related Articles
- EP ID EP506391
- DOI -
- Views 94
- Downloads 0
Antero superior plate osteosynthesis versus conservative treatment for diaphyseal clavicle fractures: A prospective comparative study
Background: Clavicle fractures were traditionally treated conservatively but there is growing awareness of non-unioun, mal-unioun leading to shoulder girdle malfunction resulting in unsatisfactory outcomes. Operative int...
Retrospective evaluation of infections occurring in patients undergoing treatment with locking reconstruction plates for fracture of clavicle bone
Background: The treatment of choice for majority of midshaft clavicular fractures was conservative with a sling bandage. This was because the incidence of non union was higher after open reduction as compared to those wh...
To assess the functional results of surgical management of distal humerus fractures in adults involving the articular surface
Introduction: Distal humerus fractures are uncommon injuries that account for fewer than 2% of all adult fractures. The complex shape of the elbow joint, the adjacent neurovascular architecture, and the sparse soft tissu...
A prospective study of surgical management of fractures around ankle joint
Introduction: Ankle joint fractures are commonly encountered by orthopedic surgeons. Fractures are result of twisting and sport injuries. Ankle joint is maximum weight bearing joint of body and has maximum load per unit...
Functional outcomes of different modalities of fixation in intra-articular calcaneus fractures
Background: Closed manipulation and percutaneous screw fixation, minimal sinus tarsi approach reduction and screw fixation, open reduction and plate fixation these all useful in management of intraarticular calcaneus fra...