scholarly journals Functional outcome of displaced tibial plateau fracture treated by Illizarov fixator

2015 ◽  
Vol 2 (1) ◽  
pp. 34
Author(s):  
Surulivel Jayabalan ◽  
Ganesan Ram ◽  
Annamalai Chandrasekaran ◽  
Kannan Kailash
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Plateau Fracture

Mapping recovery in simple and complex tibial plateau fracture fixation

2019 ◽  
Vol 101-B (8) ◽  
pp. 1009-1014 ◽  
Author(s):  
D. N. Ramoutar ◽  
K. Lefaivre ◽  
H. Broekhuyse ◽  
P. Guy ◽  
P. O’Brien
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Short Form ◽  
Tibial Plateau Fractures ◽  
Functional Score ◽  
Complex Group ◽  
Sf 36 ◽  
Functional Scores ◽  
Plateau Fracture

Aims The aim of this study was to determine the trajectory of recovery following fixation of tibial plateau fractures up to five-year follow-up, including simple (Schatzker I-IV) versus complex (Schatzker V-VI) fractures. Patients and Methods Patients undergoing open reduction and internal fixation (ORIF) for tibial plateau fractures were enrolled into a prospective database. Functional outcome, using the 36-Item Short Form Health Survey Physical Component Summary (SF-36 PCS), was collected at baseline, six months, one year, and five years. The trajectory of recovery for complex fractures (Schatzker V and VI) was compared with simple fractures (Schatzker I to IV). Minimal clinically important difference (MCID) was calculated between timepoints. In all, 182 patients were enrolled: 136 (74.7%) in simple and 46 (25.3%) in complex. There were 103 female patients and 79 male patients with a mean age of 45.8 years (15 to 86). Results Mean SF-36 PCS improved significantly in both groups from six to 12 months (p < 0.001) and one to five years (simple, p = 0.008; complex, p = 0.007). In both groups, the baseline scores were not reached at five years. The SF-36 PCS was significantly higher in the simple group compared with the complex group at both six months (p = 0.007) and 12 months (p = 0.01), but not at five years (p = 0.17). Between each timepoint, approximately 50% or more of the patients in each group achieved an MCID in their score change, indicating a significant clinical change in condition. The complex group had a much larger drop off in the first six months, with comparable proportions achieving MCID at the subsequent time intervals. Conclusion Tibial plateau fracture recovery was characterized overall by an initial decline in functional outcome from baseline, followed by a steep improvement from six to 12 months, and ongoing recovery up to five years. In simple patterns, patients tended to achieve a higher functional score by six months compared with the complex patterns. However, comparable functional scores between the groups achieved only at the five-year point suggest later recovery in the complex group. Function does not improve to baseline by five years in either group. This information is useful in counselling patients about the course of prospective recovery. Cite this article: Bone Joint J 2019;101-B:1009–1014.

scholarly journals FIXATION OF POSTERIOR TIBIAL PLATEAU FRACTURE AND ITS OUTCOME: A COMPARATIVE STUDY

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Hrishikesh Saodekar ◽  
Kamal Agrawal
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Plate Fixation ◽  
Tibial Plateau Fractures ◽  
Fracture Union ◽  
Posterior Tibial ◽  
Plateau Fracture ◽  
Group A ◽  
Group B

Introduction: Tibial plateau fractures are complex injuries of proximal tibia which are produced by high- or low-energy trauma and principally affect young adult population. These fractures usually have associated soft-tissue lesions affecting the treatment. Posterior tibial plateau fractures (PTPF), may be medial or lateral, are common and they occur in about 28.8% patients as a part of bicondylar tibial plateau fractures. These fractures are difficult to reduce, therefore articular incongruity was not found to be detrimental factor in final functional outcomes. Studies have supported the fact that residual articular incongruence is well tolerated by proximal tibial plateau fracture in the form of minimal functional limitation or onset of arthrosis.  Anterolateral and anteromedial surgical approaches do not show adequate reduction and fixation of posterolateral and posteromedial fragments. To achieve this, it is advised to reduce and fix the fracture through specific posterolateral or posteromedial approaches that allow optimal reduction and plate/screw placement. Material and Methods: This comparative prospective cohort study on done on 50 adult patients. Two groups were formed: Group A – double-plate fixation with both posterior and anterolateral  having 25 participants and Group B – single anterolateral plate fixation having 25 participants in PTPFs were followed up to 1 year. For Group A, the reduction was done under direct vision and assisted with fluoroscopy in two planes. The reduction was assessed with submeniscal approach. In Group B posterior fragment was reduced by screws through the anterolateral plate followed by CT scan. Patients were evaluated by radiographs every 6 weeks till fracture union is evident. Fracture union was assessed by cortical continuity and progressive loss of fracture line on X-rays. Functional status at 1-year postoperative CT scanogram was done at final follow up to record articular subsidence, nonunion, coronal, or sagittal deformities. Knee functions were assessed by the International Knee Documentation Committee 2000 subjective knee evaluation form and objective functional Knee Society Score (KSS). Results: There were 22 male and 3 female in Group A while in Group B there were 20 male and 5 female. Right tibial fracture was observed in 15 cases and left in 10 cases in group A while in Group B right fracture was seen in 17 cases and in 8 cases left sided fracture. 23 cases each in group A and B were associated with RTA. Operative time (minutes) in group A and group B was 124 ± 26.7 and 79.52± 16.22 respectively. Total mean hospitalization days were 9.4±2.6 in group A and 8.2±1.5 in group B. Union time in group A was 14.6±3.4 weeks while in group B was 15.4±3.2. Statistically significant correlation was observed in group A and B with respect to KSS clinical outcome and KSS functional outcome. Flexion deformity was observed in 3 (12%) cases in group A and in 6 (24%) cases in group B. Conclusion:  PTPF can achieve an early and satisfactory functional outcome. Rehabilitation and fracture healing are better in PTPF. Keywords: Tibial plateau fractures, PTPF, Open reduction and internal fixation (ORIF)

scholarly journals Functional outcome of internal fixation for tibial plateau fracture

2019 ◽  
Vol 5 (2) ◽  
pp. 569-573
Author(s):  
Dr. Anantharaman ◽  
Dr. Karthick Kasi Viswanathan ◽  
Dr. Kathir Azhagan S
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Plateau Fracture

scholarly journals FUNCTIONAL OUTCOME OF SCHATZKER TYPE 5 AND 6 TIBIAL PLATEAU FRACTURE TREATED BY PROXIMAL LOCKING PLATE

2018 ◽  
Vol 7 (48) ◽  
pp. 5141-5144
Author(s):  
Chatla Srinivas ◽  
Parupalli Satish ◽  
Murthy G. V. S. ◽  
Raju B
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Locking Plate ◽  
Tibial Plateau Fracture ◽  
Schatzker Type ◽  
Plateau Fracture

scholarly journals Functional outcome of tibial plateau fracture managed conservatively

2020 ◽  
Vol 6 (3) ◽  
pp. 447
Author(s):  
Anubhav Rijal ◽  
Aashish Rajthala
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Excellent Result ◽  
Fair Result ◽  
Conservative Method ◽  
Articular Fractures ◽  
Alternative Treatment Option ◽  
Fracture Management ◽  
Plateau Fracture

<p class="abstract"><strong>Background:</strong> Tibial plateau fractures involve the articular surface of the proximal tibia. They account for approximately 1% of adult fractures. A number of articles have been published regarding tibial plateau fracture management. Interestingly excellent results have been published concluding not all fractures of the tibial plateau require surgery and not all displaced intra-articular fractures need to be reduced surgically. In this method we used conservative method to restore normal joint anatomy, joint stability, and functional motion and avoid complications.</p><p class="abstract"><strong>Methods:</strong> This study design is prospective study including forty randomly selected cases of diagnosed tibial plateau fracture presented in Orthopaedic department of tertiary referral centre over 18 months period and treated with conservative method. The patients then were followed up and evaluation of outcome was analyzed as per modified Rasmussen clinical criteria and radiological criteria at six months.<strong></strong></p><p class="abstract"><strong>Results:</strong> In this study, tibial plateau fracture was seen more in patients of age group 31-40 (35%). Mean age being 41.25 years. There were 28 (70%) male and 12 (30%) female. Road traffic accident comprises the majority of cases (75%). Regarding radiological outcome, 41.5% had excellent result, 34.3% had good result, 8.5% had fair result and 15.7% had poor result. 84% had acceptable outcome. The Rasmussen’s functional outcome at final follow up was 46% patients had excellent result, 30% had good result, 12% had fair result and 12% had poor result. 88% had acceptable clinical outcome.</p><p class="abstract"><strong>Conclusions:</strong> Conservative management of tibial plateau is still a reliable, inexpensive and alternative treatment option with favourable functional outcome.</p>

scholarly journals The functional outcome of operative management of displaced tibial plateau fracture

2020 ◽  
Vol 6 (2) ◽  
pp. 805-808
Author(s):  
Dr. Hemanth R ◽  
Dr. Manjunatha A ◽  
Dr. Anand Kumar BS
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Operative Management ◽  
Plateau Fracture

Functional outcome after tibial plateau fracture osteosynthesis: A mean follow-up of 6years

The Knee ◽  
2014 ◽  
Vol 21 (6) ◽  
pp. 1210-1215 ◽  
Author(s):  
Tim K. Timmers ◽  
Denise J.C. van der Ven ◽  
Luuk S. de Vries ◽  
Ger D.J. van Olden
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Plateau Fracture ◽  
Fracture Osteosynthesis

scholarly journals To evaluate the fracture pattern and functional outcome of posterior tibial plateau fracture fixation

2019 ◽  
Vol 5 (2) ◽  
pp. 700-705
Author(s):  
Dr. Saurabh Khare ◽  
Dr. Pratik Patel ◽  
Dr. Meghal shah ◽  
Dr. Nagendra Prasad ◽  
Dr. Arun Gulati
Keyword(s):  
Functional Outcome ◽  
Fracture Fixation ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Fracture Pattern ◽  
Posterior Tibial ◽  
Plateau Fracture

Applying autogenous iliac bone combined with allogeneic cortical bone for reconstructing collapse of the tibial plateau fracture

2011 ◽  
Vol 31 (6) ◽  
pp. 694-695
Author(s):  
Wen-yue WANG ◽  
Shen-sheng NIAN ◽  
Lie-hu CAO ◽  
Yong-fa WU ◽  
Gen BA ◽  
...  
Keyword(s):  
Cortical Bone ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Iliac Bone ◽  
Plateau Fracture
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