The functional outcome of operative management of displaced tibial plateau fracture

Author(s): Dr. Hemanth R, Dr. Manjunatha A and Dr. Anand Kumar BS

Abstract: With improvement in imaging modalities like CT and MRI complex fracture patterns and soft tissue injuries were recognized. CT has been shown to help surgical planning and to lead to more reliability in classifying the fracture and deciding on a treatment plan. Patients were informed about the study in all respects and written informed consent will be obtained. The follow up period was 6 weeks, 3 months, 6 months, 41/2 months, 6 months, 9 months, 1 year and 2 years. In the present study on evaluation of the type of plates used, we found that of the 50 cases in the study, single plate was used in 34 patients (68%) and double plate used in 16 patients (32%). In the present study on evaluation of the final outcome of the fracture according to lysholm scoring scale most patients had excellent results (24 patients, 48%). Post-operative rehabilitation protocol in terms of non-weight bearing and achieving satisfactory range of motion needs to be strictly adhered to, in order to obtain optimal functional results. In our study we found that proximal tibial locking plates provides complete union and early mobilisation to attain better functional outcome.

DOI: https://doi.org/10.22271/ortho.2020.v6.i2m.2141