Effectiveness of the different surgical modalities of treatment of tibial plateau fractures

Authors

  • Aamir Bin Sabir 1Associate Professor, Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, U.P., India Author

DOI:

https://doi.org/10.61841/kx1qrp50

Keywords:

Cannulatedcancellous screw, Locking compression plate,, tibial plateau fractures

Abstract

Background: Fractures that involve the proximal tibia affect knee function and stability. The present study was conducted to assess effectiveness of the different surgical modalities of treatment of tibial plateau fractures and their functional outcomes.

Materials & Methods: 84 patients of tibial plateau fractures of both genders were divided into 2 groups of 42 each. Group I patients were treated with cannulated cancellous screws in which two/more transverse cancellous screws were used and group II patients were treated with locking compression plate.

Results: Group I had 30 males and 12 females and group II had 26 males and 16 females. Outcome found to be excellent in 28 in group I and 20 in group II, good in 10 in group I and 14 in group II and fair in 4 in group I and 8 in group II. The difference was significant (P< 0.05).

Conclusion: Both cannulated cancellous screws and locking compression plate were found to be equally effective in management of tibial plateau fractures

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References

1. Markhardt BK, Gross JM, Monu J. Schatzker Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment. Radio Graphics. March 2009; 29: 585-97.

2. Schutz M, Kaab MJ, Haas N. Stabilization of proximal tibia fractures with the LIS-System: early clinical experience in Berlin. Injury 2003;34(Suppl. 1):30-5.

3. WJ and Nork SE. Open reduction and internal fixation of High energy tibial plateau fractures. OrthopClin North Am. 2002; 33: 177-94.

4. Honkonen SE. Indications for surgical treatment of tibial condyle fractures. ClinOrthopRelat Res. 1994 May;(302):199-205.

5. Lee JA, Papadakis SA, Moon C and Zalavras CG. Tibial plateau fractures treated with the less invasive stabilisation system. IntOrthop. 2007 June; 31(3): 415–18.

6. Wu CC, Tai CL. Plating treatment for tibial plateau fractures: a biomechanical comparison of buttress and tension band positions. Arch Orthop Trauma Surg 2007;127:19-24.

7. Manidakis N, Dosani A, Dimitriou R, Stengel D, Matthews S, and Giannoudis P. Tibial plateau fractures: functional outcome and incidence of osteoarthritis in 125 cases. IntOrthop. 2010 April; 34(4): 565–70.

8. Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury 2006;37:691-7.

9. Lee JA, Papadakis SA, Moon C and Zalavras CG. Tibial plateau fractures treated with the less invasive stabilisation system. IntOrthop. 2007 June; 31(3): 415–18.

10. Pasa L, Kelbl M, Suchomel R, Procházka V, FilipínskýJ.Treatment of intraarticular proximal tibial evaluation of two- to seven-year follow-up. ActaChirOrthopTraumatolCech. 2007 Oct;74(5):336-41.

11. Rademakers MV, Kerkhoffs MJ, Sierevelt IN, Raaymaker E, Marti RK. Operative treatment of 109 tibial plateau fractures: Five to 27 year follow-up results. J Orthop Trauma 2007 January; 21(1): 5-10.

12. Ratcliff JR, Harley BJ, Geel C, Werner FW, Green JK. Medial Buttress versus lateral locked plating in a medial tibial plateau fracture model. J Orthop Trauma 2007;21(7):444-8.

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Published

28.02.2011

Issue

Vol. 15 No. No. 1 (2011): Vol. 15 No. 1 (2011)

Section

Articles

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How to Cite

Sabir, A. B. (2011). Effectiveness of the different surgical modalities of treatment of tibial plateau fractures. International Journal of Psychosocial Rehabilitation, 15(No. 1), 114-118. https://doi.org/10.61841/kx1qrp50