Predictors of functional outcome of surgical management in proximal tibia fractures

Abstract

Background: Tibia plateau fractures constitute about 1% of all fractures and complex bicondylar fractures constitute 30% of all Tibial plateau fractures. These fractures pose an inherent difficulty in treatment due to the extent of soft tissue damage, fracture comminution, instability, displacement of articular fragments and increased risk of compartment syndrome. Present study was carried to find out functional outcome in different fracture management technique. Material and methods: A total 25 cases of tibial plateau fracture treated with different implants from April 2019 to September 2019 in Santokba Durlabhji Memorial Hospital were followed for minimum of 6months. Patients less than 18 years and more than 60 years of age, Compound trauma and fractures due to pathological conditions were excluded. Functional outcome was measured using Rasmussen’s grading system at 6month follow up. Results: Maximum study subjects (36%) were in age group of 31-40yrs, 80% had road traffic accidents as a mode of injury. 32% were of type V Schatzker fracture classification. 48% subjects were operated by ORIF with LCP Plating, 24% subjects were operated by LCP Plating plus CC screw, 20% were operated by bicondylar plating, 8% were operated by CC screw. Most of the subjects with plates had either excellent or good outcome. Conclusion: ORIF with plating gives excellent to good functional outcome with minimal soft tissue complications.