Surgical Management of Tibial Plateau Fractures – A Clinical Study
Background: Advance in mechanization and acceleration of travel have been accompanied by increase in number and severity of fractures and those of tibial plateau are no exception. Being one of the major weight bearing joints of the body, fractures around it are of paramount importance. The study...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2013-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/3894/151-%207249_E(K)_Re-Formating)_PF2(PP)_U(P).pdf |
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| author | Girish H. Vasanad S.M. Antin R.C.Akkimaradi Prasad Policepatil Girish. Naikawadi |
| author_facet | Girish H. Vasanad S.M. Antin R.C.Akkimaradi Prasad Policepatil Girish. Naikawadi |
| author_sort | Girish H. Vasanad |
| collection | DOAJ |
| description | Background: Advance in mechanization and acceleration of
travel have been accompanied by increase in number and
severity of fractures and those of tibial plateau are no exception.
Being one of the major weight bearing joints of the body, fractures
around it are of paramount importance. The study was aimed to
identify the role of surgical treatment of tibial plateau fractures, its
functional outcome and complications.
Methods: Thirty-two cases of tibial plateau fractures treated by
various modalities were studied from Jan 2004 to Dec 2005 at
Bapuji Hospital and Chigateri General Hospital, Davangere and
followed for minimum period of 6 months.
Results: The selected patients evaluated thoroughly: clinically
and radiologically, were taken for surgery, after the relevant lab
investigations. The indicated fractures were treated as per the
SCHATZKER’S types accordingly with CRIF, with percutaneous
cannulated cancellous screws, ORIF with buttress plate with or
without bone grafting, external fixator. Early range of motion started
soon after the surgery. No weight bearing upto 6-8 weeks. The
full weight bearing deferred until 12 weeks or complete fracture
union. Immobilization in insecurily fixed fractures continued for
3-6 weeks by POP cast. The knee range of motion was excellent
to very good, gait and weight bearing after complete union was
satisfactory. redepression in 1 case, malunion in 2 cases, knee
stiffness in 3, wound dehiscence in 2 cases and non-union in
none of our cases.
Conclusion: Surgical management of tibial plateau fractures will
give excellent anatomical reduction and rigid fixation to restore
articular congruity, fascilitate early motion and reducing posttraumatic OA and hence to achieve optimal knee function. |
| first_indexed | 2024-12-12T01:36:47Z |
| format | Article |
| id | doaj.art-8a513e721d9b45368c839f8d58f0db4a |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-12T01:36:47Z |
| publishDate | 2013-12-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-8a513e721d9b45368c839f8d58f0db4a2022-12-22T00:42:50ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-12-017123128313010.7860/JCDR/2013/7249.3894Surgical Management of Tibial Plateau Fractures – A Clinical StudyGirish H. Vasanad0S.M. Antin1R.C.Akkimaradi2Prasad Policepatil3Girish. Naikawadi4Assistant Professor, Department of Orthopaedics, S.N. Medical College, Bagalkot-587103, karnataka, India.Faculty, Department of Orthopaedics, S.N. Medical College, karnataka, India.Faculty, Department of Orthopaedics, S.N. Medical College, karnataka, India.Faculty, Department of Orthopaedics, S.N. Medical College, karnataka, India.Faculty, Department of Orthopaedics, S.N. Medical College, karnataka, India.Background: Advance in mechanization and acceleration of travel have been accompanied by increase in number and severity of fractures and those of tibial plateau are no exception. Being one of the major weight bearing joints of the body, fractures around it are of paramount importance. The study was aimed to identify the role of surgical treatment of tibial plateau fractures, its functional outcome and complications. Methods: Thirty-two cases of tibial plateau fractures treated by various modalities were studied from Jan 2004 to Dec 2005 at Bapuji Hospital and Chigateri General Hospital, Davangere and followed for minimum period of 6 months. Results: The selected patients evaluated thoroughly: clinically and radiologically, were taken for surgery, after the relevant lab investigations. The indicated fractures were treated as per the SCHATZKER’S types accordingly with CRIF, with percutaneous cannulated cancellous screws, ORIF with buttress plate with or without bone grafting, external fixator. Early range of motion started soon after the surgery. No weight bearing upto 6-8 weeks. The full weight bearing deferred until 12 weeks or complete fracture union. Immobilization in insecurily fixed fractures continued for 3-6 weeks by POP cast. The knee range of motion was excellent to very good, gait and weight bearing after complete union was satisfactory. redepression in 1 case, malunion in 2 cases, knee stiffness in 3, wound dehiscence in 2 cases and non-union in none of our cases. Conclusion: Surgical management of tibial plateau fractures will give excellent anatomical reduction and rigid fixation to restore articular congruity, fascilitate early motion and reducing posttraumatic OA and hence to achieve optimal knee function.https://jcdr.net/articles/PDF/3894/151-%207249_E(K)_Re-Formating)_PF2(PP)_U(P).pdffracturetibial plateaubuttress platebone graft |
| spellingShingle | Girish H. Vasanad S.M. Antin R.C.Akkimaradi Prasad Policepatil Girish. Naikawadi Surgical Management of Tibial Plateau Fractures – A Clinical Study Journal of Clinical and Diagnostic Research fracture tibial plateau buttress plate bone graft |
| title | Surgical Management of Tibial Plateau Fractures – A Clinical Study |
| title_full | Surgical Management of Tibial Plateau Fractures – A Clinical Study |
| title_fullStr | Surgical Management of Tibial Plateau Fractures – A Clinical Study |
| title_full_unstemmed | Surgical Management of Tibial Plateau Fractures – A Clinical Study |
| title_short | Surgical Management of Tibial Plateau Fractures – A Clinical Study |
| title_sort | surgical management of tibial plateau fractures a clinical study |
| topic | fracture tibial plateau buttress plate bone graft |
| url | https://jcdr.net/articles/PDF/3894/151-%207249_E(K)_Re-Formating)_PF2(PP)_U(P).pdf |
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