Functional outcome of tibial condylar fractures (Schatzker type V, VI) managed surgically with mippo technique

Abstract

Introduction: Fractures involving proximal tibia & extending into the knee joint, are known as tibial plateau fractures. They comprise of 1% of all fractures and 8% of the fractures in elderly. Lateral condyle fractures are most common (55-70%). Medial condyle fractures (10 to 23%), bicondylar fractures (10-30%). Most common mechanism of injury is direct axial compression, with a valgus or varus moment and indirect sheer forces. AIM: This study was conducted to observe the functional outcome of surgical management in schatzker type V, VI tibial plateau fractures with proximal locking compression plate. Materials and Methods: 30 cases of Schatzker type V and VI Tibial plateau fractures were taken up for this prospective study. Patients were followed up for a minimum period of 6 months. First follow up was at 6th week, and second follow up was done at 3 months. Both radiological and clinical evaluation was done at both the times. The anatomic and functional evaluation was done using the modified Rasmussen clinical and radiological criteria. Results: In our study, we found that most cases were between 5th-6th decade. Males were affected more than females (80% & 20%). Majority of the patients showed involvement of right tibia (21/30), as compared to left (9/30). RTA was the most common mode of injury, accounting to 77% of the cases followed by self-fall-23%. Conclusion: MIPPO (minimally invasive percutaneous plate osteosynthesis) technique minimizes the size of the surgical incision and avoids soft tissue injury, in turn reducing post-operative complications, leading to better wound healing.