Original Articles
Assessment of the Effectiveness and Complications of Various Treatment Modalities for Tibial Plateau Fractures | |
Ameet M Rayanagoudar | |
Background: In the contemporary era, injuries and fractures have proliferated, primarily attributed to the burgeoning population, escalating vehicle numbers, and the resulting traffic congestion. The prevalence is exacerbated by the prevalence of high-speed motor transportation. Notably, the tibia stands out as the most frequently fractured long bone, owing to a third of its surface being subcutaneous. Open fractures manifest more frequently in the tibia compared to other major long bones. Methods and results: A one-year study was conducted to explore the surgical management of intraarticular fractures of the proximal tibia. Over this duration, 140 patients underwent treatment for tibial condylar fractures. Among them, 28 patients received closed reduction and internal fixation through percutaneous methods (using cc screws), while 42 patients underwent open reduction and internal fixation with a buttress plate and screws, with or without bone grafting. Another group of 50 patients underwent open reduction and internal fixation employing a locking plate and screws. Additionally, 8 cases were treated using a hybrid external fixator. It's worth noting that 12 cases were excluded from the study due to loss during follow-up. Conclusion: The outcomes of our study led us to the conclusion that, when considering the Shatzker classification of fractures, diverse modalities have demonstrated positive and promising results. |
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