scholarly journals Functional outcome of surgical management in schatzker type V, VI tibial plateau fractures with locking compression plate

2019 ◽  
Vol 5 (2) ◽  
pp. 556-559
Author(s):  
Dr. Mahesh Kumar Dindivanam ◽  
Dr. Prakashappa TH ◽  
Dr. Avinash P ◽  
Dr Vamsinath P
Keyword(s):  
Functional Outcome ◽  
Surgical Management ◽  
Tibial Plateau ◽  
Locking Compression Plate ◽  
Tibial Plateau Fractures ◽  
Schatzker Type ◽  
Compression Plate ◽  
Type V

scholarly journals Treatment of Tibial Plateau Fractures Involving Posterolateral Column Through the Extended Anterolateral Approach

2021 ◽  
Author(s):  
Wenwen Mao ◽  
Li Li ◽  
Gang Chen ◽  
Ming Zhang ◽  
Yousen Zhu ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Stress Test ◽  
Locking Compression Plate ◽  
Tibial Plateau Fractures ◽  
Anterolateral Approach ◽  
Type Ii ◽  
Schatzker Type ◽  
Compression Plate ◽  
Type V

Abstract ObjectiveTo summarize the surgical technique and the clinical effects of extended anterolateral approach for the treatment of Schatzker type II and Schatzker type V/VI which involving the posterolateral column tibial plateau.MethodsFrom January 2015 through December 2018, a total of 28 patients with tibial plateau fracture involving posterolateral column were included in this study. Among them, 16 patients were Schatzker type II treated via extended anterolateral approach with lateral tibial locking compression plate fixation.12 patients were Schatzker type V or VI treated via extended anterolateral combine with medial approach by lateral tibial locking compression plate plus medial locking compression plate fixation. All cases were followed up for 15~31 months, with an average follow‐up of 22.5±3.7 months. During the follow-up, the tibial plateau angle (TPA), lateral posterior angle (PA) and Rasmussen radiological criteria were used to evaluate the effect of fracture reduction and fixation; the Hospital for Special Surgery (HSS) and the range of motion were used to evaluate knee function; the Lachman and knee Valgus (Varus) stress test were used to evaluate anteroposterior and lateral stability of the knee.ResultsAll fractures healed. At the 12-month follow-up: in Schatzker type II group a mean TPA of 86.38±3.92°, a mean PA of 7.43±2.68°, and Rasmussen radiological score with an average of 16.00±2.06 points, scores were excellent in 6 cases and good in 10 cases, as a result the excellent and good rate was 100%; while in in Schatzker type V/VI group a mean TPA of 84.91±3.51°, a mean PA of 9.68±4.01°, and Rasmussen radiological score with an average of 15.33±2.99 points, scores were excellent in 4 cases and good in 6 cases, as a result the excellent and good rate was 83.33%. During the one-year follow-up, when re-measured postoperative PA, TPA, Rasmussen score of the two groups did not change significantly (P > 0.05). At the last follow‐up, in Schatzker type II group, the the knee flexion angle was 110° ~135°, with an average of 125°±8.56°,a mean of HHS score 88.37±10.01 points, scores were excellent in 9 cases and good in 5 cases, as a result the excellent and good rate was 100%; in Schatzker type V/VI group, the the knee flexion angle was 100° ~130°, with an average of 120°±11.25°,a mean of HHS score 82.17±10.76 points, scores were excellent in 5 cases and good in 3 cases, as a result the excellent and good rate was 66,67%.In addition, up to the last follow-up, Lachman and knee Valgus (Varus) stress test results of the two groups were negative. No complications were found.ConclusionsAlthough there are many ways to treat posterolateral tibial plateau fractures, When choosing one or more combined approach, we must consider the condition of soft tissue injury, the shape of the whole platform fracture including the posterolateral bone block and the available fixation methods. The best approaches should provide maximum exposure of the platform, enough space for reduction and fixation, and minimum damage to the surrounding structures. For anterolateral platform fractures combine with isolated posterolateral fracture fragments, the extended anterolateral approach is more suitable as a single approach. For multiple column tibial plateau fractures a dual approach (extended anterolateral combined with medial approach) can be used to enter the whole plateau area.

STUDY ON FUNCTIONAL OUTCOME OF TIBIAL PLATEAU FRACTURES TREATED WITH LOCKING COMPRESSION PLATE

2021 ◽  
pp. 30-32
Author(s):  
M. Ganesh Kumar ◽  
M. Sivakumar
Keyword(s):  
Knee Joint ◽  
Functional Outcome ◽  
Tibial Plateau ◽  
Locking Compression Plate ◽  
Tibial Plateau Fractures ◽  
Tibial Fractures ◽  
Radiological Outcome ◽  
Proximal Tibial Fractures ◽  
Compression Plate

Proximal tibial fractures, one of the commonest intra articular fractures. Incidence of these fractures is increasing due to road trafc accidents. At the same time surgical treatment options for the same are also being modied continuously. Any fracture around the weight bearing joint like knee joint is of paramount importance as it would result in signicant morbidity. Hence the treatment of proximal tibial fractures has become a challenge for the orthopaedic surgeons. Methods: During the study period 31 patients were treated with locking compression plate on lateral side through anterolateral approach for varying types of tibial plateau fractures. Out of 31, 28 patients were available at nal follow up. The functional and radiological outcome assessed with Rasmussen scoring system. At the end of study stability of the knee joint assessed with standard stability tests. Results: Most of the patients were sustained injury following major road trafc accidents and most of them were males. At nal follow up the functional outcome was excellent in 65 % of patients and good to fair in 35% of patients. No patient had poor functional outcome, though 10% of patients had poor radiological outcome. At the end of study 3 patients had posterior laxity, 2 patients had lateral meniscal injury and 4 patients had varus laxity. Conclusion: The functional outcome of tibial plateau fractures treated with single lateral locking compression plate was satisfactory in all our patients. All patients had acceptable clinical outcome though few patients had poor radiological outcome. We found 32% of patients with instability at the end of our study

scholarly journals Surgical Management of Tibial Plateau Fractures with Locking Compression Plate

2021 ◽  
Vol 9 (01) ◽  
pp. 18-23
Author(s):  
Bipan Shrestha ◽  
Prakriti Raj Kandel ◽  
Kishor Man Shrestha ◽  
Shreshal Shrestha ◽  
Rakesh Yadav
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Treatment Options ◽  
Locking Compression Plate ◽  
Tibial Plateau Fractures ◽  
Institutional Review ◽  
Schatzker Type ◽  
Compression Plate ◽  
Plateau Fracture ◽  
The Mean

  INTRODUCTION Tibial plateau fracture is a common fracture that accounts for 1-2% of all fracture. Various treatment options including proximal tibial plating with locking compression plates are available for the treatment of tibial plateau fracture. This study was done to determine the clinical profile and functional outcome of tibial plateau fracture following locking compression plating.   MATERIAL AND METHODS This prospective and observational study was carried out in Orthopedics Department of Universal College of Medical Sciences-Teaching Hospital (UCMS-TH) from December 2018 to July 2020. After Ethical clearance (UCMS/IRC/224/18) from Institutional Review Board (IRB) of UCMS-TH and informed written consent, all patients with tibial plateau fracture (Schatzker II-VI) who fulfilled the inclusion criteria were enrolled in the study and treated with locking compression plate. Post-operatively patients were regularly followed at 6 weeks, 3 months and 6 months for clinical, radiological and functional assessment. Descriptive statistics like frequency, percentage, mean and standard deviation were used to analyze the data.   RESULTS In our study of 30 cases, the mean age was 37.77 ±15.65 years. Most of the cases were Schatzker type VI (13 patients) and type II (9 patients). The average duration for fractures union was 23.4 ±2.1 weeks. Superficial wound infection was the common complication seen in five cases. At six months, the mean knee society score (KSS) was 78 ±7.22 and majority of patients (19 patients) had good results.   CONCLUSION Locking compression plate has an excellent functional and radiological outcome. It is an effective implant that can be adopted for the treatment of tibial plateau fractures in adults.  

scholarly journals Functional outcome of Schatzker type V and VI tibial plateau fractures managed with open reduction internal fixation using dual plates

2017 ◽  
Vol 3 (5) ◽  
pp. 961
Author(s):  
Saranjeet Singh Jagdev ◽  
Subodh Kumar Pathak ◽  
Abhijeet Salunke ◽  
Pritam Maheshwari ◽  
Prahlad Ughareja ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Tibial Plateau ◽  
Oxford Knee Score ◽  
Tibial Plateau Fractures ◽  
Schatzker Type ◽  
The Mean ◽  
Type V

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Complex tibial plateau fractures remain a challenge to even the most experienced surgeons. These injuries usually affect the young population in their productive years thereby causing socioeconomic impact. We performed a retrospective study to evaluate the functional outcome of of Schatzker type V and VI managed through open reduction and internal fixation.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">26 patients with Schatzker type V and type VI tibial plateau fractures treated with open reduction and internal fixation using plates were included in the study. Three patients were lost to follow up, 23 patients were evaluated in the final analysis. The preoperative, intraoperative data was noted from the indoor files.The final evaluation was done using Oxford knee score and VAS score</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were nine Schatzker type V fractures and 14 patients with Schatzker type VI fractures. The mean duration of follow-up was 68.32 months ranging from 41 months to 126 months. The mean Oxford knee score was 39.78. Patients with Schatzker type VI had mean OKS of 37.7.The mean MPTA and mean PPTA were 88.75 degrees and 7.35 degrees respectively. Average VAS Score was 2.8 ranging from 1 to 3.9. All patients returned to their pre-injury level of activity and employment. There were no patients of deep infection. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">We conclude that open reduction and internal fixation of high-energy tibial plateau fractures gives excellent to good functional outcome with minimal soft tissue complications. The complications can be minimized with proper patient selection and soft tissue dissection.</span></p>

scholarly journals Functional outcome of Schatzker type V and VI tibial plateau fractures treated with dual plates

2013 ◽  
Vol 47 (2) ◽  
pp. 188 ◽  
Author(s):  
GThiruvengita Prasad ◽  
TSuresh Kumar ◽  
RKrishna Kumar ◽  
GanapathyK Murthy ◽  
Nandkumar Sundaram
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Schatzker Type ◽  
Type V

scholarly journals A prospective study of functional outcome of closed schatzker type V and type VI tibial plateau fractures managed by open reduction and internal fixation

2020 ◽  
Vol 11 (SPL2) ◽  
pp. 137-144
Author(s):  
Ramkumar G ◽  
Ilavarasan Mangadu Dhamu ◽  
Anindya Debnath ◽  
Dinesh R ◽  
Sugumar N ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Road Traffic ◽  
Weight Bearing ◽  
Cartilage Regeneration ◽  
Tibial Plateau Fractures ◽  
Pelvic Injury ◽  
Schatzker Type ◽  
Type V ◽  
Tibia Plateau

Knee joints comprised of the distal femur, proximal tibia & patella. Injuries of the knee must be treated properly to maintain a good knee function. Fractures of the tibia plateau represent 1% of all fractures and approximately 8% of fractures occurring in the elderly. The aim was tostudy the “functional outcome of treatment of closed schatzker type V and type VI tibial plateau fractures using locking compression plate”. In this study, twenty patients with tibia plateau fractures who presented to our casualty were studied. All the patients were victims of road traffic accidents. Once they were thermodynamically stable, were clinically examined and assessed for associated injuries.Out of 11 patients with Type VI fractures, 4(36%) had excellent results, 4(36%) had good results, 2(18%) had fair results and 1(9%) had poor results. The poor result was due to the associated pelvic injury, which interrupted the regular post-op rehabilitation. Out of 9 patients with type V fractures, 2(22%) had excellent results and 7(78%) had good results according to Rasmussen Radiologic Assessment. Hence,early mobilization is absolutely essential for preventing the knee stiffness & for quick articular cartilage regeneration. Weight-bearing should be delayed until solid union to prevent the articular collapse.

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