Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Among the most prevalent types of intra‐articular fractures, tibial plateau fractures rank high. These injuries can cause a wide range of compression and articular displacements and can involve fractures in the medial, lateral, or both tibial plateaus. Fractures of this kind are critically important since the knee is one of the body’s primary joints that bears weight. Although there are a number of effective methods for fixing these fractures, no one seems to agree on which one provides the greatest functional outcome or proves its superiority. This is why we set out to compare and contrast many commonly used fixation techniques in our current study. Our goal is to find the most effective one. To measure the reduction and stability of fractures after internal fixation, the frequency of complications following surgery, and the functional outcome of tibial plateau fractures following surgical management. A prospective comparative study conducted in Department of Orthopaedic surgery, District hospital Tumakuru for a period of 2 years (September 2020‐ August 2022) in 66 patients admitted in dept of orthopaedics in district hospital Tumakuru, fulfilling the inclusion criteria and willing to participate in the study. The primary objective was to compare the functional and radiological outcome which was assessed using Rasmussen criteria during follow up. For secondary objective, cases were followed up for 6 months and complications are noted. Of the 66 patients in our study the majority were between the ages of 31 and 40. We discovered that there were more men than women in the population and the ratio of men to women was 3.4:1. It was discovered that the poor group had a higher percentage of patients with left lateralization than the good, fair, and excellent groups. Most of the patients had RTA in Good group, Fair group, Poor group compared to excellent group. The study showed that ORIF with buttress plating and bone grafting has better functional outcome with better pain score and preserve good range of motion. Also lower risk of knee stiffness and other related complications at the end of 6 months of our follow up.
How to cite this article:
Adarsh Dalapathi, Kiran Kumar Narsegowda and Lohith Boragunte Marulaiah. A Prospective Study of Functional Outcome of Surgical Management of Tibial Plateau Fractures.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.61.66
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.61.66