To assess the clinical and functional outcome of surgically treated Bicondylar Tibial schatzker type V and VI plateau fractures with dual plating at SSIMS-RC, Davanagere during August 2015 TO August 2018.
1. To assess the anatomical reduction of articular surface of upper end of tibia perfectly by operative treatment with internal fixation.
2. To assess the radiological union of fractures after internal fixation with dual plating
3. To assess the clinical outcome associated with this treatment modality
a. Knee Range of movements
b. Pain relief
c. Return to normal activities and work
Materials and Methods: Total number of cases studied were 30.
Inclusion criteria: All skeletal mature patients with proximal tibia fracture Schatzker type V and VI (>18years), AO Muller type 41-C1, 41-C2, 41-C3, Gustilo-Anderson type I and II compound proximal tibial fractures.
Exclusion Criteria: Patients with Gustilo- Anderson Type 3 compound tibial plateau fractures, Children with proximal tibial fractures in whom the growth plate is intact, 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 86% excellent, 11.7% good and 1.7% fair. The functional outcome was 81% excellent, 13% good, 5% fair and 1% poor. The Radiological outcome showed 79.2% excellent, 12% good, 0.70% fair results.
Conclusion: From this study we conclude that, surgical management of bicondylar tibial plateau fractures with dual plating gives excellent anatomic reduction, accurate axial and articular alignment with rigid internal fixation by dual locking plate, achieving a stable and functional knee joint.