Functional Outcome of High Energy Tibial Plate Au Fractures Treated With O Pen R Eduction and I Nternal F Ixation

Abstract

BACKGROUND: High-energy tibial plateau fractures, i. e., the bicondylar Schatzker type V fractures and the comminuted Schatzker type VI fractures are complex injuries that require adequate preoperative planning, detailed evaluation and surgical expertise. MATERIALS AND METHODS: From September 2009 to September 2014, 20 patients with high-energy (Schatzker type IV to type VI) tibial plateau fractures were treated with Open reduction and internal fixation with dual plating at the Department of Orthopaedic Surgery, Chettinad Hospital and Research Institute. RESULTS: A follow up ranging from 12 to 18 months showed that all fractures went in for union, both clinically and radiologically. The average time between the surgery and union was 16 weeks (range, 12-20 weeks). Functional outcome was evaluated using Rasmussens criteria, which showed 90%of acceptable anatomical and functional results. CONCLUSION: Open reduction and internal fixation is recommended for high-energy tibial plateau fractures with significant displacement. By careful selection of patients with "acceptable" soft tissues, a reasonable outcome can be expected, even in more severe injuries.