Functional outcome of surgical management in schatzker type V, VI tibial plateau fractures with locking compression plate

Abstract

Tibial plateau fractures are one of the commonest intra articular fractures. Results from indirect coronal or direct axial compressive forces. Among Tibial plateau fractures, Schatzker type V and VI tibial fractures are complex injuries, usually treated with open reduction and internal fixation (ORIF) using LCP plates. AIM: This study was done to determine functional outcome and the complications of Schatzker V and VI tibial plateau fractures treated with LCP plates with a regular follow-up of 18 months. Materials and Methods: Total 30 cases of tibial plateau fracture type V and VI treated with dual plating were studied from FEBRUARY 2017 to NOVEMBER 2018 in Sanjay Gandhi Institute of trauma and orthopaedics, Bangalore. The follow up duration ranged from 6 months to 15 months. The patients were operated through an anterolateral approach for lateral plate and a medial column plate was put through a minimally invasive medial approach or an open posteromedial approach. Results: Total 30 patients were evaluated postoperatively thoroughly for functional and radiological outcomes by Modified Rasmussen Assessment criteria which showed 17 patients (56.7%) had excellent, 8 patients (26.7%) had good,3 patients (10%) had fair and 2 patients (6.7%) had poor outcome Conclusion: We concluded open reduction and internal fixation of high-energy tibial plateau fractures with LCP excellent to good functional outcome with minimal soft tissue complications. Thus, a minimally invasive approach should be used which helps in preventing soft tissue problems and helps in early wound healing. Fixation done by Dual plating is important for early mobilization of knee joint. Early mobilization leads to better range of movements and thereby better functional outcome.

Final Outcome and Complications among Patients of Proximal Tibial Fractures Treated with Open Reduction Internal Fixation with Locking Compression Plate

“…Study by Hong-Wei Chen et al, in 2015 on posterior tibial plateau fractures assessed postoperative outcome by modified Rasmussen functional scoring system showed that 28 (72%) cases had excellent results, 8 (20%) cases had good results and 3 (8%) cases had fair results and none of the cases had poor results. 3 Manikandan N et al, in 2019 in their study on complex tibial plateau fractures observed excellent results in 55%, good in 40%, fair in 5% and none of the cases had poor results 4 Modified Rasmussen score of our study showed comparable results with the different studies on tibial plateau fractures treated with locking compression plate 5 . In similar studies Gavhale SV et al, (2014) observed excellent results in 56.6%, good in 30% and fair in 13.3% patients 6 .…”