A Prospective Study of the use of a Locking Compression Plate to Treat Tibial Plateau Fractures in Adults
- 1. Senior Resident, Department of Orthopaedics, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India
- 2. Professor and HOD, Department of Orthopaedics, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India
Description
Aim: To study of management of tibial plateau fractures by locking compression plate in adults. Methods: A prospective study was conducted in the Department of Orthopaedics, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India for 15 months. 50 patients with tibial plateau fractures above 18 years of age were included in the study. Age group adults (>18 years) radiologically diagnosed tibial plateau fractures and open fractures Gustillo Anderson type I and II. All tibial plateau fractures were graded preoperatively using Schatzker classification. The functional outcome of the patients was assessed using knee society score (KSS). Results: Majority of the patients was males and in the age group of 30-50 years with right sided predominance. Schatzker type V and VI were the most common fracture patterns observed. Good results were obtained in 44% and excellent results in 38% of the patients. Fair results in 14% and Poor results were obtained in only 4% of the patients. Mean union time was about 4.6 months with 86% patients showing radiological union within 6 months. 4 patients showed delayed union with 3 showing non-union. Mean range of flexion was found to be 116 degrees, with 82% of the patients showing functional range of flexion (110 degrees or more). 4 patients showed an extension lag of 5 degrees while 1 other patient had an extension lag of 10 degrees. 4 % (2 patients) had knee stiffness. Conclusion: Locked compression plates in tibial plateau fractures has revolutionized the way these fractures are managed. It has the following advantages- Anatomic reduction of the articular surface is of utmost importance.
Abstract (English)
Aim: To study of management of tibial plateau fractures by locking compression plate in adults. Methods: A prospective study was conducted in the Department of Orthopaedics, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India for 15 months. 50 patients with tibial plateau fractures above 18 years of age were included in the study. Age group adults (>18 years) radiologically diagnosed tibial plateau fractures and open fractures Gustillo Anderson type I and II. All tibial plateau fractures were graded preoperatively using Schatzker classification. The functional outcome of the patients was assessed using knee society score (KSS). Results: Majority of the patients was males and in the age group of 30-50 years with right sided predominance. Schatzker type V and VI were the most common fracture patterns observed. Good results were obtained in 44% and excellent results in 38% of the patients. Fair results in 14% and Poor results were obtained in only 4% of the patients. Mean union time was about 4.6 months with 86% patients showing radiological union within 6 months. 4 patients showed delayed union with 3 showing non-union. Mean range of flexion was found to be 116 degrees, with 82% of the patients showing functional range of flexion (110 degrees or more). 4 patients showed an extension lag of 5 degrees while 1 other patient had an extension lag of 10 degrees. 4 % (2 patients) had knee stiffness. Conclusion: Locked compression plates in tibial plateau fractures has revolutionized the way these fractures are managed. It has the following advantages- Anatomic reduction of the articular surface is of utmost importance.
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Additional details
Dates
- Accepted
-
2021-07-27
Software
- Repository URL
- http://impactfactor.org/PDF/IJPCR/13/IJPCR,Vol13,Issue4,Article53.pdf
- Development Status
- Active
References
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