Volume 15 | Issue 3 | July-September 2020 | Page 1-6 | Sunil G. Kulkarni, Siddharth S. Vakil, Madhura S. Kulkarni, Ashish A. Desai, Saksham R. Tripathi, Ashok Shyam
Authers: Sunil G. Kulkarni [1], Siddharth S. Vakil [1], Madhura S. Kulkarni [1], Ashish A. Desai [1], Saksham R. Tripathi [1], Ashok Shyam [2]
[1] Department of Orthopaedics, P.G.I. Swasthiyog Prathishthan Miraj , India – 416410
[2] Department of Orthopaedics, Sancheti Institute for Orthopaedics and Rehabilitation Pune, India – 411005
Address of Correspondence
Dr. Siddharth S. Vakil,
Department of Orthopaedics, Postgraduate Institute(P.G.I.) of Swasthiyog Pratishthan Miraj 416410, India
E-mail: siddharthvakil19@gmail.com
Abstract
Introduction: Proximal tibial plateau fractures presents with diverse fracture patterns. With an increase in its incidence , these fractures continue to challenge the orthopaedic surgeon to restore the knee to its pre-injury state . We aim to report the clinico-radiological and functional outcomes of patients with proximal tibial plateau fractures who were operated with 3.5 mm small fragment plates.
Methodology: Thirty patients of proximal tibia plateau fractures who were operated from January 2015 till March 2017 were included in our study. They were classified according to the Schatzker classification and Chang et al modification of 3 column classification of Luo . 3.5mm pre-contoured plates, inter-condylar screws and/or Reconstruction plates were used. Patients were evaluated immediately and 12 months post-operatively.
Results: Most common type of fractures were Schatzker type 4-posteromedial fragment (6 cases) and Schatzker type 5 anterolateral and posteromedial fragment (6 cases). Average medial proximal tibial angles immediately and 12 months post-operatively were 88.10 + 2.09 degrees and 87.13 + 2.04 degrees respectively. Similarly, proximal tibial slope angles immediately and 12 months post-operatively were 8.57 + 2.73 degrees and 9.73 + 2.80 degrees respectively. Articular surface reduction was excellent (< 2mm) in 18 patients and satisfactory (2.1 to 5 mm) in 10 patients out of 30 patients. Average KSS knee score was 84.13 + 10.44 and function score was 82 + 17.59 . Average Lysholm score was 84.9 + 8.29 . Average knee flexion was 115 degrees + 23.11.
Conclusions: Our study shows that 3.5 mm small fragment plate is an excellent option for the management of proximal tibial fractures. Keywords: proximal tibial plateau, articular fracture, small fragment plates, trauma , osteosynthesis , 3.5 mm system
Keywords: proximal tibial plateau, articular fracture, small fragment plates, trauma, osteosynthesis, 3.5 mm system
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| How to Cite this article: Kulkarni SG, Vakil SS, Kulkarni MS, Desai AA, Tripathi SR, Shyam A. Outcome of patients with proximal tibial plateau fractures treated with small fragment plates. Journal of Trauma and Orthopaedic Surgery Jul-Sep 2020;15(3): 1-6. |