Clin Osteol 2022; 27(1): 6-12

Clinico-radiological study of surgical treatment of tibial plateau fracturesPůvodní práce

Rajendra Jagannath1, Harshith Neelaraju2, Padmanabhan Kumar Ashok3, Eapen Arun4
1 Bengaluru, Karnataka, India; Department of Orthopaedics, Akash Institute of Medical Sciences And Research Centre, Bengaluru, India
2 Department of Orthopaedics, Sapthagiri Institute of Medical Sciences And Research Centre, Bangaluru, India
3 Department of Orthopaedics, Ramaiah medical College hospital, Bengaluru, India
4 Ramaiah Medical College Hospital

Background: Locking compression plate (LCP) systems are beneficial for treating proximal tibial fractures as they combine the benefits of external and internal fixators, providing greater stability, vascular preservation, superior healing, and fewer complications. However, the translation of these properties to functional benefits for patients remains to be elucidated.

Aims: To evaluate the clinical outcomes of tibial plateau fractures (TPFs) treated by LCP and by a combination of posterior and anterior lateral approaches.

Methods: This prospective study enrolled 34 patients aged > 18 years, from both genders, with TPFs (Schatzker type 4, 5, 6.) Patients were treated with minimally invasive percutaneous plate osteosynthesis (MIPPO) or open reduction and internal fixation (ORIF) by LCP. They were followed up at 6 weeks, 3 months and 6 months postoperatively. Treatment results were assessed using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results were statistically analyzed using chi-square test and Wilcoxon signed rank test. p ≤ 0.05 indicated statistical significance.

Results: With a mean age of 39.29 ± 8.85 years and M:F of 33 : 1, most patients showed Schatzkers type VI fractures (82.35 %). Anterolateral approach was most used (73.53 %). Most patients achieved good results (44.12 %), showing healing within 14-20 weeks. No association was found between age-group and Schatzkers type (p > 0.05). A significant post-operative reduction in WOMAC scores was noted for total as well as component (pain, stiffness, functional limitation) scores (p < 0.001).

Conclusion: LCP is associated with significant improvements in patient's experience of pain, stiffness and functional limitations.

Zveřejněno: 11. červen 2022  Zobrazit citaci

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Jagannath R, Neelaraju H, Kumar Ashok P, Arun E. Clinico-radiological study of surgical treatment of tibial plateau fractures. Clinical Osteology. 2022;27(1):6-12.
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