Functional and radiological outcome of surgically treated tibial plateau fractures
Abstract
The present study included 30 patients (17 males; 13 females, mean age 40.33±12.7 years; range, 18 to 65 years) with tibial plateau fractures who were treated with various modalities. In our series, all patients were treated operatively out of which 15 (50.0%) were managed by ORIF with lateral plate, 8 (26.7%) patients were managed by CRIF with CC screw, 4 (13.3%) ORIF with lateral plate with CC screw, 2 (6.7%) ORIF with medial plate and 1 (3.3%) CRIF with CC screw. In all patients, similar standard physical rehabilitation therapy was followed. All complications including intra and post-operative were assessed and recorded. The functional outcome was assessed using Harkonen-Jarvinen criteria after a mean follow-up of 8 months. The statistical analysis was done using the paired t-test. All patients showed excellent or good results according to H J criteria. In the present study, there were no cases of secondary loss of reduction, failure of the implant, malunion, or non-union.
Downloads
References
A 10 year follows up study. Clin Orthop Relat Res. 1988;231:196-204.
2. Apley AG. Fractures of tibial plateau. Clin Orthop North Am. 1979;10:61-74.
3. Ali AM, El-Shafie M, Willet KM. Failure of fixation of tibial plateau fractures. J Orthop Trauma. 2002;16(5):323-9.
4. Stevens DG, Beharry R, McKee MD, Waddell JP, Schemitsch EH. The long-term functional outcome of operatively treated tibial plateau fractures. J Orthop Trauma. 2001;15(5):312-20.
5. Schatzer J, McBroom R, Bruce D. The tibial plateau fracture: the Toronto experience 1968-1975. Clin Orthop. 1979;138:94-104.
6. Yong MJ, Barrack RL. Complications of internal fixation of tibial plateau fractures. Orthop Rev. 1994;23(2):149-54.
7. Keogh P, Kelly C, Cashman WF, McGuinness AJ, O’Rourke SK. Percutaneous screw fixation of tibial plateau fractures. Injury. 1992;23(6):387-9.
8. Duwelius PJ, Rangitsch MR, Colville MR, Wall TS. Treatment of tibial plateau fractures by limited internal fixation. Clin Orthop Relat Res. 1997;339:47-57.
9. Marsh JL, Smith ST, Do TT. External fixation and limited internal fixation for complex fractures of tibial plateau. J Bone Joint Surg Am. 1995;77(5):661-73.
10. Mikulak SA, Gold SM, Zinar DM. Small wire external fixation of high energy tibial plateau fractures. Clin Orthop Relat Res. 1988;356:230-8.
11. Rasmussen PS. Tibial condyle fractures. Impairment of knee joint stability and indication for surgical intervention. J Bone Joint Surg Am.1973;55(7):1331-50.
12. De Mourgues G, Chiax D. Treatment of tibial plateau fractures. Rev Chir orthop Reparatrice Mot. 1969;55(6):575-6.
13. Honkonen SE. Indications for surgical treatment of tibial condyle fractures. Clin Orthop Relat Res. 1994;302:199-205.
14. Burri C, Bartzke G, Coldewey J, Mugglar E. Fractures of tibial plateau. Clin Orthop Relat Res. 1979;138:84-93.
15. Bowes DN, Hohl M. Tibial condyle fractures. Evaluation of treatment and outcome. Clin Orthop Relat Res. 1982;171:104-8.
16. Segal D, Malik AR, Merrick J, Wetzler MJ, Franchi AV, Whitelaw GP. Early weight bearing of lateral tibial plateau fractures. Clin Orthop Relat Res. 1993;294:232-7.
17. Ebraheim NA, Sabry FF, Haman SP. Open reduction and internal fixation of 117 tibial plateau fractures. Ortho Blue Journal. 2004;27(12):1281-7.