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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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Evaluation of Outcome of Posterior Column Fixation via Posterior Approach in an Intraarticular Posterior Tibial Plateau Fracture in Sir T. Hospital Bhavnagar: A Prospective Observational Study

Madhusudan Rathva, Suresh Parmar, Nimesh Sunilkumar Jain and Vishal Mehta
Page: 40-45 | Received 25 Aug 2023, Published online: 08 Sep 2023

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https://doi.org/10.36478/10.59218/makijtm.2023.2.40.45

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Abstract

Tibial plateau fractures impact the knee, a crucial weight-bearing joint, leading to alterations in its stability and function. Despite advancements in surgical techniques and implants, the optimal approach for management remains a topic of debate. In this prospective study, we analyzed 30 consecutive cases of tibial plateau fractures that underwent surgical treatment through posterior column fixation using the posterior approach. The study was conducted between June 1st, 2021 and May 30th, 2022, at the Department of Orthopaedics, Government Medical College, Bhavnagar, India. The study included 30 participants with a mean age of 48 years. The most common mode of injury was road traffic accidents, accounting for 85% of cases. Radiological assessment at 3 months showed excellent results in 26% of patients, good results in 54% and satisfactory recovery. Achieving optimal outcomes in the surgical management of tibial plateau fractures involves precise reconstruction of the articular surface, elevation of depressed bone fragments and bone grafting when necessary. These measures, combined with rigid fixation allowing for early physiotherapy, promote a return to normal function. In cases of type V and type VI fractures, suboptimal results are often attributed to inadequate reconstruction and postoperative articular restoration collapse.

How to cite this article:

Madhusudan Rathva, Suresh Parmar, Nimesh Sunilkumar Jain and Vishal Mehta. Evaluation of Outcome of Posterior Column Fixation via Posterior Approach in an Intraarticular Posterior Tibial Plateau Fracture in Sir T. Hospital Bhavnagar: A Prospective Observational Study.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.2.40.45
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.2.40.45