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National Journal of Clinical Orthopaedics
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Impact FactorRJIF: 3.25

2021, Vol. 5 Issue 1, Part B
A prospective study to evaluate tibial plateau fractures functional outcome treated by locking compression plate in a tertiary care centre, South India
Author(s): Dr. Haricharan L, Dr. Shashank G and Dr. Rajendra J
Abstract: Background: Knee joint is the major weight bearing joints in the lower extremity. Proximal tibial fractures are commonest intra-articular fractures. As more and more concepts about biological fixation become clearer the innovation of plates progressed and lead to the development of less invasive stabilizing system. This new system is technically mature as it offers numerous fixation possibilities and has proven to worth in complex fracture situations and in osteoporotic bones.
Objectives:To evaluate functional outcome following three column locking compression plate reconstruction for treating tibial plateau fractures in a tertiary care centre in South India.
Methods:This study was a prospective study done on 34 consenting cases of proximal tibial fractures admitted to the Department of Orthopaedics, and underwent surgical treatment for tibial plateau fractures at MS Ramaiah Hospitals, Bengaluru. The patients were chosen based on the inclusion and exclusion criteria. Results were evaluated by fracture union on X ray and descriptive statistics were used to analyze the data.
Results: In the present males were, 97%, most patients belonged to the category 40-50 years (14 patients, 41.18%). The mean age was 39 years. Vehicular accident (27 patients, 79%). right sided injury (24 patients, 69.38%), type of Schatzker's fracture type VI (29 patients, 85.2%), followed by Type IV 4 patients 11.76%. Mean WOMAC pain, stiffness and functional limitation score were 15.706 and 12.706, 5.8. and 3.7 and 66.7 and 53.7 in the preoperative and the post-operative period respectively and was statistically significant.
Conclusion: Three-column fixation is a new fixation concept in treating complex tibial plateau fractures, which is especially useful for multiplanar fractures involving the posterior column. The combination of posterior and anterior-lateral approaches is a safe and effective way to have direct reduction and satisfactory fixation for such difficult tibial plateau fractures.
Pages: 93-96  |  673 Views  55 Downloads
How to cite this article:
Dr. Haricharan L, Dr. Shashank G, Dr. Rajendra J. A prospective study to evaluate tibial plateau fractures functional outcome treated by locking compression plate in a tertiary care centre, South India. Nat J Clin Orthop 2021;5(1):93-96 DOI: https://doi.org/10.33545/orthor.2021.v5.i1b.266
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