Surgical management of patients with tibial plateau fracture using minimally invasive technique with locking compression plate retrospective study

Abstract

Introduction:The following study was conducted to identify the short term clinical and radiological results particularly early complications and healing rate of tibial plateau fracture treated with LCP using MIPPO. Materials and Methods: The study was conducted in patients treated for tibial plateau fracture (type 1 to 4 schatzker's classification) at Mandya Institute of Medical Sciences, Mandya from month of Nov 2015 to Oct 2017. Forty tibial plateau fracture patients were fixed with LCP using MIPPO technique of schatzker's type 1 to 4 in this study. Patients' age ranged from 18 to 65 years. Results: The sample consisted forty patients, 31 were males and 09 females. The patients' ages ranged from 18-65 years with mean age of 41.5 years. The causes of fractures were motor vehicle accident in 26 patients, self-fall in 11 and fall from height in 03 patients. 26 fractures involved the right side and 14 involved the left. The average hospitalization was 15 days with a range of 10 to 20 days. The average number of days from injury to surgery was 5 days with a range of 02 to 07 days. Functional outcome was rated as per NEER'S RATING SCORE, we got excellent results in 14 cases, good in 15, fair in 08 and poor in 03 patients. Conclusion:The tibial plateau fracture fixation with LCP using MIPPO technique provides accurate positioning and fixation. We recommend use of this implant in Schatzker's Type 1, 2, 3, 4 and osteoporotic fractures with satisfactory results. In our study, we found excellent results in type 1-4 Schatzker's and osteoporotic fractures, however, long term studies are needed to prove definitively acceptable outcomes so that this technique can become part in the armamentarium of the orthopedic trauma surgeon.