Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesis
INTRODUCTION: Tibial plateau fractures occur when the proximal tibia bears an excessive axial load and commonly occur in road Traffic accidents and sports injuries. It constitutes 1% of all orthopedic fractures and 8% of fractures in the elderly. The treatment of tibial plateau fractures is continuo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Orthopaedics and Spine |
| Subjects: | |
| Online Access: | http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=6;epage=12;aulast=Singh |
| _version_ | 1798006677445804032 |
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| author | Jagdish Singh Charan Vishal Singh Avinash Gundavarapu Shashi Kumar H K |
| author_facet | Jagdish Singh Charan Vishal Singh Avinash Gundavarapu Shashi Kumar H K |
| author_sort | Jagdish Singh Charan |
| collection | DOAJ |
| description | INTRODUCTION: Tibial plateau fractures occur when the proximal tibia bears an excessive axial load and commonly occur in road Traffic accidents and sports injuries. It constitutes 1% of all orthopedic fractures and 8% of fractures in the elderly. The treatment of tibial plateau fractures is continuously evolving. Various techniques have emerged over the last few decades. Many people have studied these fractures and their management modalities and no single consensus has been reached regarding the superiority of any modality. MATERIALS AND METHODS: Following institutional scientific and ethical committee approval, this study was undertaken in the patients with proximal tibia fractures (Shatzker’s type V and VI) reporting to the Department of Orthopedics at Apollo Hospital Bannerghatta Road, Bengaluru during the study period. This was a prospective observational study. A total of 30 consecutive patients were followed up as per the inclusion criteria. They were followed up for 6 months. RESULTS: There were a total of 30 cases of proximal tibia Shatzker type V and VI fractures followed up during the study period. The demographics constituted 73.33% males and 26.67% females with an age range of 23–64 years and a mean age of 41.66 years. The most common mode of injury was road traffic accidents amounting to 73.33% of fractures. The majority of patients were in the age group less than 40 years and men were involved more than women. The functional outcome measured via the Modified Rasmussen Score showed good to excellent results in 93.33% of cases in the postop period at 6 months. CONCLUSION: This study shows fixation with dual anatomical locking plate and screws for proximal tibia Shatzker type V and VI fractures gives good to excellent functional outcomes in the early postop period. |
| first_indexed | 2024-04-11T12:59:27Z |
| format | Article |
| id | doaj.art-68bd4a92a87446b4a2beb3d75cd640ff |
| institution | Directory Open Access Journal |
| issn | 2666-7150 |
| language | English |
| last_indexed | 2024-04-11T12:59:27Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopaedics and Spine |
| spelling | doaj.art-68bd4a92a87446b4a2beb3d75cd640ff2022-12-22T04:23:00ZengWolters Kluwer Medknow PublicationsJournal of Orthopaedics and Spine2666-71502022-01-0110161210.4103/JOASP.JOASP_4_22Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesisJagdish Singh CharanVishal SinghAvinash GundavarapuShashi Kumar H KINTRODUCTION: Tibial plateau fractures occur when the proximal tibia bears an excessive axial load and commonly occur in road Traffic accidents and sports injuries. It constitutes 1% of all orthopedic fractures and 8% of fractures in the elderly. The treatment of tibial plateau fractures is continuously evolving. Various techniques have emerged over the last few decades. Many people have studied these fractures and their management modalities and no single consensus has been reached regarding the superiority of any modality. MATERIALS AND METHODS: Following institutional scientific and ethical committee approval, this study was undertaken in the patients with proximal tibia fractures (Shatzker’s type V and VI) reporting to the Department of Orthopedics at Apollo Hospital Bannerghatta Road, Bengaluru during the study period. This was a prospective observational study. A total of 30 consecutive patients were followed up as per the inclusion criteria. They were followed up for 6 months. RESULTS: There were a total of 30 cases of proximal tibia Shatzker type V and VI fractures followed up during the study period. The demographics constituted 73.33% males and 26.67% females with an age range of 23–64 years and a mean age of 41.66 years. The most common mode of injury was road traffic accidents amounting to 73.33% of fractures. The majority of patients were in the age group less than 40 years and men were involved more than women. The functional outcome measured via the Modified Rasmussen Score showed good to excellent results in 93.33% of cases in the postop period at 6 months. CONCLUSION: This study shows fixation with dual anatomical locking plate and screws for proximal tibia Shatzker type V and VI fractures gives good to excellent functional outcomes in the early postop period.http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=6;epage=12;aulast=Singhanatomical locking platearticulate reductionfunctional outcomeproximal tibia fractures |
| spellingShingle | Jagdish Singh Charan Vishal Singh Avinash Gundavarapu Shashi Kumar H K Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesis Journal of Orthopaedics and Spine anatomical locking plate articulate reduction functional outcome proximal tibia fractures |
| title | Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesis |
| title_full | Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesis |
| title_fullStr | Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesis |
| title_full_unstemmed | Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesis |
| title_short | Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesis |
| title_sort | functional outcome of proximal tibia fractures shatzker s type v and vi fixed with open reduction and internal fixation with dual plate osteosynthesis |
| topic | anatomical locking plate articulate reduction functional outcome proximal tibia fractures |
| url | http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=6;epage=12;aulast=Singh |
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