Study of results of “operative management of intra-articular fractures of upper end tibia”

Author(s): Dr. Bhavesh Namsha and Dr. Rajnikant Machhi

Abstract: Intra- Articular Fracture of upper end of Tibia occurring with increased frequency because of high velocity injuries as a result of growth of no. of vehicles & increased speed on expressways. Management of such high velocity trauma to joint is still a challenge to Orthopaedic surgeons. This study carried out to analyze various Operative methods of treatment of tibial plateau fractures. This is a prospective study of 22 cases of Tibial Plateau fractures treated operatively. Patients were followed from 6 months to 2 years. All fractures were classified with Schatzgar classification and treated with various operative methods like close reduction & percutaneous fixation, Open reduction & Internal Fixation (ORIF) or Minimally Invasive Plate Osteosynthesis (MIPO). All patients were assessed with Lansinger Criteria. Results suggests of operative treatment in displaced fractures of Tibial Plateau. Aim is Anatomical reduction, stable fixation & soft tissue preservation. MIPO technique is favored in fractures where closed reduction method achieves near anatomical reduction of fracture fragments. Open reduction is preferred in displaced and depressed Tibia Plateau fractures.

DOI: https://doi.org/10.22271/ortho.2017.v3.i3g.76