Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 20084

Original article / research
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : RC05 - RC10

Functional and Radiological Outcome of Schatzker type V and VI Tibial Plateau Fracture Treatment with Dual Plates with Minimum 3 years follow-up: A Prospective Study

Neil Rohra, Harpreet Singh Suri, Kewal Gangrade

1. Orthopedic Surgeon, Department of Orthopedics, Vinoba Bhave Civil Hospital, Gujarat, India. 2. Department of Orthopedics, JJ Hospital, Mumbai, India. 3. Department of Orthopedics, Government Medical College, Indore, India.

Correspondence Address :
Dr. Neil Rohra,
Orthopedic Surgeon, Department of Orthopedics, Vinoba Bhave Civil Hospital, Gujarat-388325, India.
E-mail: drneilrohra@gmail.com

Abstract

Introduction: High energy intra-articular fractures involving the tibial plateau causes various problems related to management like wound dehiscence, severe comminution leading to malalignment and delayed complications like varus collapse, implant failure and arthritis of knee joint.

Aim: This study was done to determine functional, radiological outcome and the complications of Schatzker V and VI tibial plateau fractures treated with bipillar plating with dual plates with a regular follow-up of atleast 3 years.

Materials and Methods: Total 34 cases of tibial plateau fracture type V and VI treated with dual plating were studied from January 2011 to December 2013 in KIMS Hospital were followed for minimum of 3 years. The patients were operated through an anterolateral approach for lateral plate and a medial column plate was put through a minimally invasive medial approach or an open posteromedial approach.

Results: Total 34 patients were evaluated postoperatively thoroughly for functional outcome using The Knee Society Score and radiological outcomes by Modified Rasmussen Assessment criteria which showed 29 patients (85.29%) had excellent and 5 patients (14.71%) had good objective knee society score. 24 patients (70.59%) had excellent, 8 patients (23.53%) had good and 1patient (2.94%) were each of poor and fair functional knee society score. Eleven patients (32.35%) had excellent, 21patients (61.76%) had good and 2 patients (5.88%) had fair radiological outcome.

Conclusion: We conclude that open reduction and internal fixation of high-energy tibial plateau fractures with dual plates via 2 incisions gives excellent to good functional outcome with minimal soft tissue complications. Thus, a minimally invasive approach should be used which helps in preventing soft tissue problems and helps in early wound healing. Fixation done by bipillar plating is important for early mobilization of knee joint. Early mobilization leads to better range of movements and thereby better functional outcome.

Keywords

Dual plating, Knee society score, Proximal tibia, Rasmussen assessment criteria

How to cite this article :

Neil Rohra, Harpreet Singh Suri, Kewal Gangrade. FUNCTIONAL AND RADIOLOGICAL OUTCOME OF SCHATZKER TYPE V AND VI TIBIAL PLATEAU FRACTURE TREATMENT WITH DUAL PLATES WITH MINIMUM 3 YEARS FOLLOW-UP: A PROSPECTIVE STUDY. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Jun 24 ]; 10:RC05-RC10. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=RC05-RC10&id=7855

DOI and Others

DOI: 10.7860/JCDR/2016/18732.7855



Date of Submission: Jan 07, 2016
Date of Peer Review: Jan 27, 2016
Date of Acceptance: Mar 02, 2016
Date of Publishing: May 01, 2016


Financial OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • SCOPUS
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com