Juxtra Articular Compound Fractures of the Tibia Managed by Percutaneous Anatomical Locked Plating-Feasibility in Indian Rural Population

Gill, Sps; Raj, Manish; Singh, Pooja; Kumar, Dinesh; Singh, Jasveer; Rastogi, Prateek

doi:10.5958/2395-1362.2015.00018.3

Cited by 1 publication

(1 citation statement)

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“…According to Schatzker classification, type V, VI are unstable tibial plateau fractures which include bicondylar injuries with significant articular depression, multiple displaced condylar fracture lines, meta-diaphyseal fracture extensions or comminutions, with the significant compromise of the soft tissues envelope 1 , 2 . The treatment strategy of these fractures includes the preservation of soft tissues, reduction of articular congruity, and maintenance of anatomic alignment in the lower extremities with a good range of functional outcomes 3 . However, the treatment of these fractures was thought to be prognostic of poorer clinical outcomes and remains a challenging task for the treating surgeon.…”

Section: Introductionmentioning

confidence: 99%

Outcome Analysis of Dual Plating in Management of Unstable Bicondylar Tibial Plateau Fracture - A Prospective Study

M¹,

SPS²,

Rajput³

et al. 2021

Malays Orthop J

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Introduction: Bicondylar tibial plateau fractures account for 10-30% of tibial plateau fractures. Despite recent advancements in the management of unstable bicondylar tibial plateau fractures, the outcomes are often poor. The present study aimed to evaluate the functional outcomes and complications of internal fixation of bicondylar tibial plateau fractures with the dual plating using two incisions. Materials and methods: The present study included 30 patients (26 males; 4 females, mean age 35.6 years; range, 19 to 65 years) with bicondylar tibial plateau fractures who were treated with dual plating between January 2017 to August 2019. Out of 30 patients, 5 patients had Schatzker type (V) and 25 patients had Schatzker type (VI) bicondylar tibial plateau fracture. All patients were treated with dual plating using two incisions. In all patient’s similar standard physical rehabilitation therapy was followed. All complications including intra and post-operative were assessed and recorded. The patients were followed-up for over 24 months. Functional outcomes were assessed with Rasmussen’s functional grading system, Oxford knee score, and range of motion of knee joint. Radiological outcomes were evaluated using Rasmussen’s radiological scoring system. Result: All fractures united with a mean time of 18 weeks. The average knee range of motion was 1.5° - 130° (range: 0° - 10° for extension lag, range: 100° -135° for flexion). Mean Rasmussen's functional grading score at the final follow-up was 26.75. All patients showed excellent or good radiographic results according to Rasmussen’s radiological scoring with a mean score of 8.5 (range 6-10). The post-operative radiographs showed mean MPTA was 84.3° and the mean PPTA was 6.2°. In the present study, complications were encountered in five patients. However, there were no cases of secondary loss of reduction, failure of the implant, malunion, or non-union. Conclusion: The surgical treatment of bicondylar tibial plateau fractures with dual locking represents a significant treatment option and provides rigid fixation in these fractures with good functional and radiological outcomes.

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Section: Introductionmentioning

confidence: 99%