Delayed osteosynthesis of tibial plateau fractures at Dakar general Idrissa Pouye hospital

Abstract

The objective of this study was to evaluate the anatomical clinical and therapeutic outcomes of delayed osteosynthesis of tibial plateau fractures. Materials and Methods: This was a retrospective, descriptive, single-center study conducted over a period of 10 years. We included all patients aged at least 18 years who had been followed for a tibial plateau fracture (at least 21 days) and who had undergone delayed osteosynthesis of tibial plateau fractures. The study was conducted on a population of 50 patients, 38 of whom were male. The parameters studied were epidemiological, diagnostic, therapeutic, and evolutionary. Our results were evaluated according to the IKS score. Results: Schatzker type II split-depression fractures represented 48%. The so-called external Gernez approach was used in 34 patients (68%). Osteoclasis + bone grafting and osteosynthesis with Kerboul plate were performed in 86%. All patients achieved clinical and radiological consolidation at the osteoclasis site at the last follow-up. Two cases of knee osteoarthritis were recorded. At an average follow-up of 56 months, the IKS-global score was excellent in 19 patients and good in 22 patients. Conclusion: Delayed osteosynthesis requires adequate technical facilities and appropriate surgical techniques.