To evaluate the effectiveness of the different modalities of the treatment and their complications for Tibial plateau fractures

Abstract

Introduction: Injuries and fractures have become so common in the present day, main reasons being increasing population, with increase in vehicles, and traffic congestion and also due to high speed motor transportation. The tibia being the most commonly fractured long bone as one third of its surface is subcutaneous, open fractures are more common in tibia than in any other major long bones and its fracture management has changed drastically from conservative to easy surgical management and its fracture management contributes significantly to the cost of orthopaedic care being provided worldwide. Methods: This is a study of surgical management of intraarticular fractures of proximal tibia was conducted in the Department of Orthopedics, Gitam Institute of Medical Sciences and Research from January 2018 to January 2021. During this period 70 patients were treated for tibial condylar fractures of which 14 patients were treated by closed reduction and internal fixation with percutaneous methods(cc screws) and 21 patients were treated by open reduction and internal fixation with buttress plate and screws with or without bone grafting. 25 were treated by open reduction and internal fixation with locking plate and screws.4 cases were treated with hybrid external fixator.6 cases were excluded, as they were lost during follow up. Conclusion: In our study we concluded that based on shatzker type of classification of fractures various modalities have shown good results

1. Type I&II:- CC screw fixation.
2. Type III &IV:-Buttress plating with or without bone grafting.
3. TypeV&VI:- Locking compression plate & Hybrid external fixator.