Functional and radiological outcome of surgically treated tibial plateau fractures

  • Singh V Professor, Department of Orthopaedics, R. D. Gardi Medical College, Ujjain, (M.P), India
  • Patidar A
  • Bhinde S
  • Agrawal A
  • Jain P
  • Jain A
  • Chouhan R
  • Kothari N
Keywords: H J criteria, Functional and radiological outcome, tibial plateau fracture

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

Download data is not yet available.

References

1. De Coster TA, Nepola JV, el-Khoury GY. Cast brace treatment of proximal tibia fractures.
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.
Published
2023-07-31
How to Cite
1.
Singh V, Patidar A, Bhinde S, Agrawal A, Jain P, Jain A, Chouhan R, Kothari N. Functional and radiological outcome of surgically treated tibial plateau fractures. ojmpc [Internet]. 2023Jul.31 [cited 2024Apr.12];29(01). Available from: https://ojmpc.com/index.php/ojmpc/article/view/169
Section
Original Article

Most read articles by the same author(s)

1 2 > >>