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

Abstract

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Tibial plateau fractures affect knee which is a major weight bearing joint, altering its contribution to stability and its function. Regardless of the advancements in technique and implants, ideal mode of management is still contentious.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective study reviewed 20 consecutive cases of tibial plateau fractures managed surgically by various modes of internal fixation from November 2012 to June 2014 in the Department of orthopaedics at Mediciti Institute of medical sciences, Ghanpur, Medchal, a tertiary care referral and trauma center</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">This study comprised higher number of fractures type II and type IV Schatzker classification, with mean age of 37.75 years. Most frequent mode of injury is Road traffic accident in n=17 out of n=20 patients (85%). Mean gain in flexion of 113.33 degree. Mean score of 27.15 and 9.70 under modified Rasmussen criteria for clinical assessment and radiological assessment respectively at 6 months. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Optimal outcome from surgical care of tibial plateau fracture is acquired when precise articular surface reconstruction with elevation of depressed bone fragment, and bone grafting when necessary, associated with rigid fixation which permits early physiotherapy and return to function. Deficiency of excellent results among type V and type VI fractures are often secondary to inadequate reconstruction and collapse of articular restoration post operatively.</span></p>

Effects of Surgical Treatment Guided by the Three-Column Classification Method on Knee Joint Function and Postoperative Complications in Patients with Tibial Plateau Fractures

“…In general, conservative treatment cannot exert obvious therapeutic effects, while surgery is carried out more commonly under the premise of classified fractures that are of great significance to determining the selection of appropriate surgical approaches [ 4 , 16 – 19 ]. Therefore, a new means of fracture classification resorted by the latest three-dimensional imaging technology is imperative.…”

Functional and Radiological evaluation of management of tibial plateau fractures: A prospective study

“…A study conducted by the Swarup et al (2016) observed that out of 60 study participant, 78% were males & 22% were females. A study conducted by the Jakinapally et al (2018) observed that out of 20 study participants, 15 (75%) were males and ive (25%) were females. A study conducted by the Manikandan and Saravanakumar (2019) observed that study participants include 70% of males & 30% females.…”

“…A study conducted by the Swarup et al (2016) observed that out of 60 study participants inal end result as per Rasmussen's criteria was excellent in 37, good in 11, fair in six and poor in six patients. A study conducted by the Jakinapally et al (2018) observed that nine (45%), cases had excellent outcome, seven (35%) cases had a good outcome, three (15%) cases had fair outcome and one (5%) case had a poor outcome. A study conducted by the Zakei et al (2018) observed that end results was excellent in 59.3%, good in 37%, and fair in 3.7% of patients participated in the study.…”

“…Eight patients had ixation done with dual plating. Conducted by the Jakinapally et al (2018) observed that of the 20 cases, three (15%) were managed with percutaneous cancellous screw ixation, seven (35%) cases were treated by Open reduction internal ixation (ORIF) with buttress plate, seven (35%) were treated with ORIF with buttress plate and bone graft, one case (1,5%) managed with ORIF with buttress plating and recon plate, one case (5%) managed with ORIF with buttress plating and cannulated cancellous screw ixation, one case (5%) managed with buttress plate and locking compression plate.…”

“…A study conducted by the Swarup et al (2016) observed that 10 (16.67%) patients undergone bone grafting. Conducted by the Jakinapally et al (2018) observed that seven (35%) patients undergone bone grafting along with ORIF with a buttress plate.…”