Surgical Management of Tibial Plateau Fractures by Various Modalities
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 2
Abstract
Background: Increasing population to acceleration of traveling system have been accompanied by increasing road traffic accidents which increase in number and severity of fractures and those of long bones too like tibial plateau fractures showing higher incidence. Fractures around the knee joint very crucial for surgical management especially tibial plateau fracture management is paramount importance. The study was aimed to identify the role of surgical treatment of tibial plateau fractures, its functional outcome, and complications. Methods: A total of 20 cases of tibial plateau fractures treated by various modalities were studied from January 2014 to January 2016 at Mahatma Gandhi Memorial Hospital, Warangal, and followed for minimum 6 months. Results: The selected patients evaluated thoroughly: Clinically and radiologically, were taken for surgery, after the relevant lab investigations. The indicated fractures were treated as per the Schatzker’s types accordingly with closed reduction and internal fixation, with percutaneous cannulated cancellous screws, open reduction and internal fixation with buttress plate with or without bone graft. Early range of motion started soon after the surgery. No weight bearing up to 6-8 weeks. The full weight bearing deferred until 12 weeks or complete fracture union. Immobilization in insecurely fixed fractures continued for 3-6 weeks by plaster of Paris cast. The knee range of motion was excellent to very good, gait and weight bearing after complete union was satisfactory. Redepression in 1 case, malunion in 2 cases, knee stiffness in 2, wound dehiscence in 1 cases, and non-union in none of our cases. Conclusion: 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 osteoarthritis and hence to achieve optimal knee function.
Authors and Affiliations
K Venkata Swamy, A Ajay, T Venkateswararao, K Ram Kumar Reddy, S Thirupathi
Keywords
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