Original Articles
A demographic analysis of patients with proximal tibia fractures using CT scan-based classification system at a tertiary centre | |
Abhay Harsh Kerketta, Akash Bansal, Kumar Rahul | |
Background: Proximal tibial fractures in general are one of the most common long bone fractures seen & occur in about 4% of the senior population. We wanted to study the demographic characteristics & the pattern of proximal tibia fractures in patients presenting to our hospital with special reference to the three-column concept based on CT scan. Methods: This was a demographic type of study conducted in Tata Main Hospital, Jamshedpur, Jharkhand,India, in the Department of Orthopaedics from October 2018 to September 2020 among patients satisfying the inclusion and exclusion criteria. Approval from the ethical committee of Tata Main Hospital, Jamshedpur was taken before embarking on the study.Results: In the present study, male patients were more and right-side fractures were more commonly seen. The study group consisted predominantly of RTA patients. There were statistically significant differences among the patients according to their association of Schatzker type with the mode of injury, with p value=0.0315 (p<0.05). There werestatistically significant differences among the patients according to their association of Schatzker type with no columns,with p value (p<0.0001). There were statistically significant differences among the patients according to their association of Schatzker type with columns, with p value (p<0.0003).Conclusions: Adoption of preventive measures such as educational campaigns, surveillance & traffic education can dramatically reduce the number of injuries. The inclusion of sensitive imaging methods in major trauma centres such as CT & MRI can improve patient care for tibial plateau fractures. |
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