Indian Journal of Orthopaedics Surgery


Functional outcome of dual plate osteosynthesis in type V & VI Proximal tibial fracture


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Author Details: Mayank Patel, Jayant Sharma, Sunil Jakhar

Volume : 3

Issue : 1

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 78

Article End Page : 83


Abstract

Introduction: Comminuted of articular surfaces and metaphyseal region, extensive soft tissue injuries, infection and risk of compartment syndrome are the challenging factor for management of proximal bicondylar Tibial fractures. Various modalities like cast, traction or open reduction and internal fixation using single to dual plating available for treating such type of fractures. We study the results of dual locking plate and buttress plating in management of proximal Tibial Schatzker V and VI tibial plateau fracture by using minimally invasive surgical technique.
Method: The study was conducted on 30 patients admitted in the department of orthopaedics at Unique super specialty centre, Indore with diagnoses of Tibial plateau fractures (Schatzker classification type 5 and 6) treated with minimally invasive bicondylar fixation. The patients were followed up for a minimum period of six months and clinical and radiological progression of fracture union with the functional outcome was studied by using knee society score.
Result: 2 patients out of 30 were lost follow up and 20 patients showed excellent results while 8 patients had good to fair and none with poor result. The average time for radiological union was 12 weeks.
Conclusion: The results of the study concluded that by using minimal invasive technique of bi condylar fracture fixation are excellent without any major complication.

Keywords:
Tibial plateau fractures, dual locking and buttress Tibial plate, proximal Tibial Schatzker type V, VI fractures, minimally invasive surgical fixation technique