Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Incidence of fractures of the tibial plateau is increasing due to high speed motor vehicle accidents, natural and manmade disasters and increase in contact sports activity. Recent introduction of Locking Compression Plate (LCP) in such fractures have revolutionized the treatment of proximal tibial fractures. Present study was aimed to evaluate the radiological and functional outcome of tibial plateau fracture in south Indian patients treated with locking compression plate. Present study was prospective, observational study, conducted in patients between 18‐80 years of age with tibial plateau fracture, operated with locking compression plate (LCP) with a standard protocol. Commonest mode of injury was RTA (87.88%) and majority fractures were on right side (57.58%). The majority of the fractures were found to be type VI of schatzker’s classification (33.33%) followed by type II (27.27%), In eleven cases, Minimally invasive percutaneous technique was used (66.67%). 22 patients (66.67%) were mobilized on second post operative day. Twenty two patients were made to bear full weight on operated limb by 12‐14 weeks and average being 13.27 weeks. All fractures in this study united without requiring any additional procedures. Average time for union of fracture was 13.27 weeks ranged from (8‐20 weeks) The average range of movement achieved was 127 degrees. Sixty patients (48.48%) had excellent results, 14 patients (42.42 %) had good results, 3 patients (9.09 %) had fair result. The association between early surgical intervention (within 24 hours) and functional outcome was found be statistically significant (p<0.05). Majority of patients who undergo open reduction and internal fixation of tibial plateau fracture with locking compression plate do very well clinico‐radiologically and return to a pre‐injury functional level at the earliest.
How to cite this article:
S. Nandeesh and Ambrish Sharma. Study of Functional Outcome of Tibial Plateau Fractures Treated with Locking Compression Plate.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.172.177
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.172.177