Intra–Articular Proximal Tibia Fractures Treated with Dual Plate Osteosynthesis – The Study of Functional Outcome

Abstract

Background: The fractures of proximal tibia particularly plateau fractures are more difficult to treat due to complexity of configuration and associated soft tissue injuries. AO 41C fractures are high energy fractures often accompanied by other injuries and complications, such as postoperative inflammation, wound problems and infections.Aim: Functional outcome of intra-artcular proximal tibia fractures (41C) treated with dual plate osteosynthesis.Materials and Method: The study was conducted over a period from March 2017 to March 2021 in the department of Orthopaedics. All cases attending OPD and emergency >18 years of age with intra articular fracture proximal tibia (41C) were assessed clinically and radiologically. Clinically assessment was done by Rasmussen’s score treated with open reduction internal fixation with dual plate osteosynthesis of intra-articular proximal tibia fractures, and those followed up at every 6 week for 3 month then every 3 months for any complications and morbidity.Results: The mean age of patients was 31.38+-11.37 years. The male: female ratio was 2.33. Among 30 patients; 6 had Diabetes Meliteus while 3 had hypertension. Mean duration of surgery from time of injury was 7.89 ±3.98 days. Mean hospital stay of patients was 18.16 ±3.69 days. Mean time for union in patients was 12.18±4.83 weeks. Rasmussen radiological outcome (immediate postoperatively) was excellent in 18, good in 9, and fair in 3 patients.Conclusion: Dual plate osteosynthesis is the best, effective and simple procedure in treatment of complex inta-articular proximal tibia fractures (41C).