Evaluation of functional outcome of tibial plateau fractures managed by different surgical modalities

Abstract

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Tibial plateau makes up one of the most important weight bearing surface. Its fractures are commonly faced entity encompassing a wide spectrum of injuries of variable fracture morphology. Due to in-crease in incidence of high velocity trauma and higher functional demands of patients, surgery is warranted in most of the cases. Although, there is advancement in fracture fixation methods, apt treatment of tibial plateau fractures still remains controversial.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> In our series, we analyzed the functional outcomes of 58 of surgically treated tibial plateau fractures. Fractures were classified with Schatzker’s classification. Various fixation modalities of fixation were employed. Functional outcome was evaluated with modified Rasmussen’s criteria.<strong></strong></span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>Most of the patient’s belonged to younger age groups (58.62%) and males (79.31%) were predominately involved. Road traffic accidents were the most common etiological factor (70.69%). Schatzker types I (29.31%) and II (27.59%) were the most common observed fracture type. The majority of the patients had a complication free recovery (81.03%). Infection was reported in only one case (1.72%). Similarly, malunion was noticed in only in one case (1.72%). None of the patients had complications like nonunion or neurovascular damage. The functional outcome assessment according to Modified Rasmussen’s criteria at the end of 12 months showed the excellent functional outcome in 41 (70.68%), good in eight (13.79%), fair in five (10.34%) and poor in four (6.9%) patients.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Surgical treatment of tibial plateau fractures is challenging, yet it helps in achieving excellent anatomical restoration and rigid fracture fixation enabling in the restoration of articular congruity and facilitation of early knee motion thus achieving optimal knee function.</p>

Functional and radiological evaluation of surgical management in tibial plateau fractures: a prospective study

“…The mean age for cases affected by road traffic accident is 35.65 years against the mean age for cases affected by fall from height is 49.67 years, which can be attributed to higher road traffic accidents in young age group. The mean age is 37.75 years in our study is comparable to 39.8 years in Honkonen et al and 40 years in Stevens et al 4,5 Our study comprised 75% males which is similar to 76% in Unnikrishnan et al and 79% in Jain et al 6,7 RTA as a mode of injury was 85% in our study comparable to 86% in Manidakis et al as opposed to 55% in Rademakers et al 8,9 In our study it is seen that individuals with higher daily commutation are at more risk as they comprised 70% of sample size [laborer is n=8, (40%), employee n=6 (20%) and businessman n=2, (10%)].…”

“…In our study, left limb was involved in n=12 (60%), showing there was marginal left sided predominance. In our study 20% of the patients had complications which were comparable to 19% in Moore et al and Jain et al 7,11 Of the type I fracture 50.00% had excellent and 50.00% had good outcome. Of the type II fracture 66.67% had excellent and 33.33% had good outcome.…”

A prospective study of management of tibial plateau fractures by locking compression plate in adults

“…Intra-articular fractures need proper anatomic reduction with rigid fixation for a painless bony union to occur. 12,13 The average time to union which was determined radiologically was about 4.4 months. 2 of our patients had delayed union taking 10 and 11 months respectively for union.…”

A STUDY OF OPERATIVE OUTCOMES OF AO TYPE B & C FRACTURES OF TIBIAL PLATEAU

“…Jain et al 10 found that excellent anatomical restoration and rigid fracture fixation enables the facilitation of early knee motion and thus achieving optimal knee function with acceptable functional outcome (84%). Biggi et al 8 studied that excellent functional outcome with rigid fixation and optimal knee functional with acceptable functional outcome (94%).…”