Functional and radiological outcome of schatzker type V & VI tibial plateau fractures treated with dual plating
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:87
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Vetrichelvan, Devendra A, Dheenadhayalan J, Rajasekaran S
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Introduction: Various methods have been described to treat bicondylar tibial plateau fractures. But the real challenge lies in restoring the articular congruity and the axial alignment with a low incidence of complications. Studies have shown dual plating to have a good outcome but with a high rate of soft tissue complications.
Materials and Methods: In our case series study over a 4 year period 96 Schatzker type V and VI tibial plateau fractures were treated with dual plating through two incisions. 96 patients (87 men and 9 women) with a mean age of 45 yrs (range 21 to 66 yrs were included. The average waiting period from the day of injury to definitive surgery was 7 days (range 1 to 23 days). Sixteen patients (17%) underwent temporary knee spanning external fixation. All fractures were operated with medial and lateral plating and the posteromedial fragment was visualised and fixed hence achieving a good coronal and axial alignment in all cases.
Results: Outcome of 96 patients with an average follow up of 24 months were assessed with Rassmussen’s Anatomical and Functional grading system. 93 patients (96.8%) showed an excellent to good radiological outcome. Functional outcome was excellent to good in 94.6% of our patients. 5 patients had fair outcome. Varus collapse was seen in 3 cases. Three patients (3.1 %) developed deep infection which is significantly low compared to other studies. A significant positive correlation was found between the functional and radiological scores.
Conclusion: Dual plating is an excellent treatment option for Schatzker Type V and VI tibial plateau fractures. Careful soft tissue dissection, identifying and fixing the posteromedial fragment and following correct surgical principles have helped us achieve an excellent outcome with a low incidence of varus collapse and infection.
|How to Cite this Abstract|
|Vetrichelvan, Devendra A, Dheenadhayalan J, Rajasekaran S . Functional and radiological outcome of schatzker type V & VI tibial plateau fractures treated with dual plating. International Journal of Conference Proceedings 2015;(2015):87|