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National Journal of Clinical Orthopaedics
  • Printed Journal
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Impact FactorRJIF: 3.25

2020, Vol. 4 Issue 1, Part A
Role of posteromedial plating in medial condylar fractures of Tibia
Author(s): Dr. Amar and Dr. Syed Azher Hussain
Abstract: Introduction: The purpose of this study is to define “Role of Posteromedial Plating in medial condylar fractures of Tibia” Therefore, describing the surgical approach to a general orthopaedic surgeon, highlighting the relevant anatomy of posteromedial surgical approach and presenting our experience in treating patients with Posterior tibial shear fracture treating a series of 14 patients using posteromedial approach.
Materials and methods: In our study of 14 patients who sustained high velocity posterior-medial tibial plateau fracture. The mean age was 42 years (range 30 to 50 yr). Posteromedia surgical approach used for fracture reduction and stabilisation with plate. The patients were followed up at regular interval postoperatively and Oxford Knee Score and Lyshom Score was used to assess final outcome.
Results: 42 (range 40 to 44) was the average OKS score at the end of one year. The post-operative clinical measures were early non weight bearing, ROM to reduce post-operative complication & improve functional outcome. According to oks and lyshom scores the rate of post-operative complications & functional outcome was significantly better as evident by 100% showing good to excellent results at the time of full weight bearing.
Conclusion: Buttress/Antiglide plate are usually needed to reduce the fractures anatomically in medial tibial plateau shear fractures which are otherwise irreducible by conventional approaches to achieving absolute stability and mobilise early, NWB, ROM of the knee joint to optimize the functional outcomes and minimise the complications, without the need for revision surgery.
Pages: 48-52  |  766 Views  73 Downloads
How to cite this article:
Dr. Amar, Dr. Syed Azher Hussain. Role of posteromedial plating in medial condylar fractures of Tibia. Nat J Clin Orthop 2020;4(1):48-52 DOI: https://doi.org/10.33545/orthor.2020.v4.i1a.238
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