The role of Esmarch bandage and percutaneous cannulated cancellous screws in tibial condylar fracture

Shete, Kiran; Sancheti, Parag K; Kamdar, Rutuj

doi:10.4103/0019-5413.34486

Cited by 3 publications

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“…Isolated injuries to the medial plateau occur in 10-23% cases; whereas bicondylar fractures noted in 10-30% cases. 4 Tibia plateau fractures are result from a combination of axial loading with varus or valgus https://doi.org/10.18231/j.ijos.2021.046 2395-1354/© 2021 Innovative Publication, All rights reserved.…”

Section: Introductionmentioning

confidence: 99%

Study of functional outcome of tibial plateau fractures treated with anatomical contoured locking compression plate

Mukherjee¹,

Vadadoriya²,

Chatterjee³

et al. 2021

IJOS

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Tibial plateau fractures tend to occur in patients with polytrauma and in elderly patients with history of significant fall. This study was undertaken to evaluate and explore new generation implant fixation in tibial plateau fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, less complications and a better quality of life.About 43 cases who had sustained tibial plateau fractures (Schatzker type I-VI) and operated with anatomical contoured locking compression plate were included. Follow-up of these patients was done at 6 weeks, 3 months, and 6 months after surgery. We analyzed all our subjects using IKDC score for functional outcome and plateau depression measurement for radiological outcome at 3 months and 6 months.All the 43 fractures analysed in this study were graded in accordance to the Schatzker classification. It was observed that most of these fractures, i.e., 16 out of 43 (37.2%) were type VI and 13 out of 43 (30.2%) type V. The average knee flexion at 3 months was 105.7±8.49 degrees and at 6 months 120.6±8.61 degrees. After evaluation, it was observed that at 6 months, 3 patients had extension lag (7%) out total 43 patients. Most of the patients had average IKDC score of 80.2±7.91% at 3 months which increased to average 86.92±8.05% at 6 months.Achieving and maintaining anatomical reduction becomes easy with advanced design of these plates, which helps in early mobilization and hence obtaining good functional and radiological outcomes of tibial plateau fractures.

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Section: Introductionmentioning

confidence: 99%

Study of functional outcome of tibial plateau fractures treated with anatomical contoured locking compression plate

Mukherjee¹,

Vadadoriya²,

Chatterjee³

et al. 2021

IJOS

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Le fratture dei piatti tibiali: MIPO artroscopico assistita

et al. 2014

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Closed Reduction and Percutaneous Screw Fixation for Tibial Plateau Fractures

Sament

Mayanger

Trıpathy

et al. 2012

J Orthop Surg (Hong Kong)

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purpose. To evaluate treatment outcomes of closed reduction and percutaneous screw fixation for tibial plateau fractures. Methods. 48 men and 8 women aged 19 to 61 (mean, 36) years underwent closed reduction and percutaneous screw fixation for closed tibial plateau fractures with <5 mm depression. According to the Schatzker classification, patients were classified into type I (n=9), type II (n=22), type IV (n=5), and type V (n=20). Closed reduction was achieved using manual ligamentotaxis with traction in extension under image intensifier control. Reduction was fixed percutaneously with cancellous screws (6.5 mm) and washers. Functional outcome (pain, walking capacity, extension lag, range of motion, and stability) was evaluated using the Rasmussen score. A total score of 28 to 36 was considered as excellent, 20 to 27 as good, 10 to 20 as fair, and <10 as poor. results. Patients were followed up for a mean of 2.8 (range, 1-4) years. The mean length of hospital stay was 5 (range, 2-15) days. All the fracture united Closed reduction and percutaneous screw fixation for tibial plateau fractures radiographically after a mean of 3 (range, 2.5-4.2) months. Respectively in Schatzker types-I, -II, -IV, and -V fractures, outcomes were excellent in 6, 10, 2, and 2 patients, good in 2, 9, 3, and 14 patients, fair in 1, 3, 0, and 2 patients, and poor in 0, 0, 0, and 2 patients. Outcome was satisfactory (good-to-excellent) in 89%, 86%, 100%, and 80% of the respective fracture types of patients. The mean Rasmussen score was 25.7 for all patients; it was 27.7 for type I, 26.3 for type II, 28.6 for type IV, and 23.4 for type V fractures. The mean Rasmussen score was significantly lower in 12 patients with ligament injury than in 44 patients without ligament injury (19.8 vs. 27.3, p<0.001). No patient had any complication (infection, wound dehiscence or hardware problem). conclusion. Closed reduction and percutaneous screw fixation for tibial plateau fractures is minimally invasive. It reduces the length of hospital stay and costs, enables early mobilisation with minimal instrumentation, and achieves satisfactory outcomes.

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The role of Esmarch bandage and percutaneous cannulated cancellous screws in tibial condylar fracture

Cited by 3 publications

References 0 publications

Study of functional outcome of tibial plateau fractures treated with anatomical contoured locking compression plate

Study of functional outcome of tibial plateau fractures treated with anatomical contoured locking compression plate

Le fratture dei piatti tibiali: MIPO artroscopico assistita

Closed Reduction and Percutaneous Screw Fixation for Tibial Plateau Fractures

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