2021, Vol. 5 Issue 3, Part B
The knee joint is one of the major weight bearing joints in the lower extremity. Generally, these injuries fall into two broad categories, high energy fractures and low energy fractures. Fractures of the proximal tibia are the result of high energy injuries and because of lack of soft tissue coverage in this region. The majority of tibial plateau fractures are secondary to high speed velocity accidents and fall from height. Fractures result from direct axial compression usually with a valgus or varus moment and indirect shear forces.
Materials and Methods: The study was conducted between the period of November 2017 to April 2019 includes at Department of Orthopaedics, Bowring hospital,Bangalore.20 patients with diagnosis of proximal tibial fractures were treated with locking compression plate. All Schatzker’s classification type 1-6 proximal tibial fractures in adults aged 18 years and above of either sex were included in the study. All patients were followed up. With each follow up, clinical and radiological examinations were performed at 6 weeks, 3 months and 6 months.
Results: The study included 20 patients, 18 males and 2 female aged from 21-80 years with mean age of 40.02 years. The average time for fracture union in our series was 15.52 weeks. In present study, knee stiffness was observed in 2 patients. Our study yielded excellent to good results in 80% of cases.
Conclusion: Displaced tibial plateau fractures are best managed operatively. Optimal knee function is achieved by accurate anatomical reduction and secure fixation followed by early mobilization to attain functional arc of motion. For minimally-displaced fractures with minimal bone defects percutaneous fixation suffices, whereas for comminuted fractures, open reduction and internal fixation is mandatory. In our study, we found that proximal tibial locking plate provides complete union and early mobilization to attain better functional outcome.