Vol. 10, Issue 3 (2024)

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.