A prospective study of surgical management of Schatzker Type V (Bicondylar) & Type Vi tibial plateau fracture by dual plating

Abstract

AIM: To assess the clinical and functional outcome of surgically treated proximal tibial fractures with dual plating at AIMS, B.G. Nagara during August 2018 to December 2020.Objectives1.To assess the articular surface anatomical reduction of PROXIMAL tibia perfectly by operative treatment with internal fixation.2.To assess the union of fractures radiologically after internal fixation with dual plates3.To assess the clinical outcome associated with this treatment modalitya.Range of movements of knee jointb.Relief of pain for the patientc.Return to routine daily activities and workMaterials and Methods: Total number of cases studied were 20.•Inclusion criteria: All patients who are skeletally mature with proximal tibia fracture Schatzker type V and VI (>18 years), AO Muller type 41-C1, 41-C2, 41-C3, Gustilo-Anderson type I and II compound proximal tibial fracture.•Exclusion Criteria: Patients with Gustilo-Anderson Type 3 compound tibial plateau fractures, Children with proximal tibial fractures with intact growth plate, patients with pathological proximal tibial fractures apart from osteoporosis.Observation and Results: Our study used Honkonen Jarvinen Criteria for radiological, functional, clinical outcome which showed excellent to good result. Our study reported Honkonen Jarvinen Clinical outcome to be 85% excellent, 12% good and 2% fair. The functional outcome was 80% excellent, 14% good, 4% fair and 2% poor. The Radiological outcome showed 79% excellent, 15% good, 0.70% fair results.Conclusion: From this study we conclude that, proximal tibial fractures (Schatzker type V and type VI) managed surgically with dual plating gives excellent anatomic reduction, accurate axial and articular alignment with rigid internal fixation by dual locking plate, achieving a stable and better functional knee joint.