To assess the clinical and functional outcome of surgically treated Bicondylar Tibial schatzker type V and VI plateau fractures with dual plating at SSIMS-RC, Davanagere during August 2015 TO August 2018. Objectives 1. To assess the anatomical reduction of articular surface of upper end of tibia perfectly by operative treatment with internal fixation. 2. To assess the radiological union of fractures after internal fixation with dual plating 3. To assess the clinical outcome associated with this treatment modality a. Knee Range of movements b. Pain relief c. Return to normal activities and work Materials and Methods: Total number of cases studied were 30. Inclusion criteria: All skeletal mature patients with proximal tibia fracture Schatzker type V and VI (>18years), AO Muller type 41-C1, 41-C2, 41-C3, Gustilo-Anderson type I and II compound proximal tibial fractures. Exclusion Criteria: Patients with Gustilo-Anderson Type 3 compound tibial plateau fractures, Children with proximal tibial fractures in whom the growth plate is intact, patients with pathological proximal tibial fractures apart from osteoporosis.Observation and Results: Our study used Honkonen Jarvinen Criteria for radiological, functional, clinical outcome which showed excellent to good result. Our study reported Honkonen Jarvinen Clinical outcome to be 86% excellent, 11.7% good and 1.7% fair. The functional outcome was 81% excellent, 13% good, 5% fair and 1% poor. The Radiological outcome showed 79.2% excellent, 12% good, 0.70% fair results. Conclusion:From this study we conclude that, surgical management of bicondylar tibial plateau fractures with dual plating gives excellent anatomic reduction, accurate axial and articular alignment with rigid internal fixation by dual locking plate, achieving a stable and functional knee joint.
The aim of this studythe early results of total knee arthroplasty (TKA)through minimally invasivemidvastus approach.Methods: This prospective study included 100 knee joints (43 females, 57 males; mean age61.3years) whounder went total knee arthroplasty forgrade 4 knee osteoarthritis.AllTKA operations were performed by the single orthopaedic surgeon through the minimally invasive midvastusapproach.Pre-operatively, all patients had primary osteoarthritis.In all cases,aPScemented prosthesis with modular insertwasused.All the knees were assessed according to theKneeSociety kneeand functions cores before surgery and atthefinal follow-up.Postoperative radiographic evaluations were performed on AP and lateral radiographs according to the knee society scoreevaluation and scoring system. The mean follow-up period was 6 months (range 3 to 12months). Results:The mean KSS score significantly improved from27.8±11.0 preoperatively to 92.2±3.8 post-operatively(p=0.000).The improvement in the knee functions core was from 54.223±23.43 to 94.07±7.720(p=0.000).The mean improvement in the KSS clinical and functions cores were 64.4 and39. 8points, respectively. The mean knee ROM significantly increased from 56.2±22.7°pre-operatively to 111.0±9.9°postoperatively (p=0.000). Patients had nopatellar trackingabnormalityintraoperatively;thus,there was none ed for lateral retinacular release.Postoperative clinical and radio graphicassessments showed no signs of instability or loosing. There were no changes in tracking and loosing of the implant during the follow up period. Neurovascular injury did not occur. Conclusion:In our study,lateral retinacular release was not doneduetoachievement of proper patellar tracking in TKA with minimally invasive midvastus approach and showing satisfactory clinical and radiographic results
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