Functional outcome of Tibial condyle fractures treated by minimally invasive plate osteosynthesis

Abstract

Introduction: Tibial plateau fractures with intra-articular extension are very difficult to manage. Age, skin conditions, compartment syndrome and osteoporosis further increase the obstacles in the healing process.Complex biomechanics of its weight bearing position and complex ligamentous stability and articular congruency are the main reason why these fractures are of concern to surgeon. In our study we have evaluated the functional outcome of locking plate fixation of tibial condyle fractures using minimally invasive technique, a minimum period of 6 months after plate fixation by Rasmussen score and Knee society score.Materials and Methods: Tibial plateau fractures treated by minimally invasive plate osteosynthesis using locking compression plate from January 2010 to January 2015 were taken into the study. All the patients who had completed the inclusion criteria were called for assessment of functional outcome of knee using Rasmussen score and knee society score. Results and Discussion: In our study, we were able to get away with unilateral plating for type V and type VI fractures without any late complications like loss of reduction and malalignment. Choice of the procedure/implant should be based on the fracture pattern, bone quality and intraoperative reduction. Conclusion: Treatment of intraarticular tibial plateau fractures is still unsolved. Our results in minimally invasive percutaneous plate osteosynthesis (MIPPO) technique is in par with the literature.