Functional outcome in tibial plateau fractures treated with open reduction and internal fixation

Author(s): Dr. Syed Natiq Hussain, Dr. Subbukannu B

Abstract: Introduction: Tremendous advance in mechanization and fastness of travel have been accompanied by steep increase in number and severity of fractures and those of tibial plateau are no exception. Knee being one of the major weight bearing joints of the body, fractures around it will be of paramount importance. This study is to analyze the functional outcome of CRIF of ORIF with or without bone grafting in tibial plateau fractures in adults. Methods: 30 cases of tibial plateau fractures treated by various modalities were studied from 1-6-11 to 30-07-13 at our institution and followed for a minimum of 9 months. Results: The selected patients evaluated thoroughly clinically and radiologically, after the relevant lab investigations were taken for surgery. The indicated fractures were treated as per the SCHATZKER’S types, accordingly with CRIF with percutaneous cannulated cancellous screws, ORIF with buttress plate with or without bone grafting. Immobilization of fractures continued for 3 weeks by POP slab. Early range of motion was then started. Weight bearing up to 6-8 weeks was not allowed. The full weight bearing deferred until 12 weeks or complete fracture union. Conclusion: Functional outcome is better in operatively treated tibial plateu fractures in adults, because it gives excellent anatomical reduction and rigid fixation to restore articular conguirity and early motion thereby preventing knee stiffiness.