Functional outcome of closed complex tibial plateau fractures treated using dual plating

Abstract

Background: The tibial plateau fractures represent 1 to 2% of all fractures and approximately 8% of the fractures in elderly. Schatzker type V and VI tibial plateau fracture include Complex bicondylar injuries. The literature pertaining to functional outcome of closed bicondylar tibial plateau (Schatzker type V and VI) fractures treated using dual plates as internal fixation are scant. Material and Methods: A prospective study was undertaken in a Tertiary Hospital from April 2017 to June 2019, 30 cases of closed proximal tibia classified as Schatzker's type V and VI fractures (bicondylar tibial plateau fractures) were managed surgically. The patients were followed up at 2 nd , 6 th , 12 th and 24 th postoperative weeks. Results: Average oxford score was 38.5 ± 6.19, maximum (73.3%) of the patients had the score more than 40. The proportion of people having high oxford score was statistically significant (χ 2 =33.9, p< 0.0001). Conclusion:We conclude that open reduction and internal fixation using dual plates, is an excellent method of treatment of closed bicondylar tibial plateau (Schatzker type V and type VI) fractures in judiciously selected cases and we recommend the same.

Study to Determine the Efficacy of Illizarov Fixator for the Treatment of Complex Tibial Plateau Fractures

“…Plateau tibia fractures are high-energy injuries that can cause poor functional outcomes if not properly treated [9,10]. There are several ways to treat these fractures, including traction and cast braces, external fixation extending across the knee, percutaneous fixation and restricted open reduction, internal fixation and open reduction, and indirect reduction and stabilization with hybrid or circular external fixation devices [11,12]. Cast bracing and traction produces bad results.…”