The Clinical Study of Surgical Management of Tibial Plateau Fractures.
Journal Title: Journal of Medical and Dental Science Research (Quest Journals JMDSR) - Year 2018, Vol 5, Issue 3
Abstract
Background: advance in mechanization and acceleration of movement have been joined by the increase in number and severity of fractures and those of tibial plateau are no special case Being one of the significant weight-bearing joints of the body, fractures around it are of principal significance. The main investigation was expected to recognize the part of the surgical treatment of tibial plateau fractures, its useful result, and complications. Methods: Sixty-four patients with tibial plateau fractures treated by different modalities were contemplated from Jan 2015 to Dec 2017 at The third hospital of Hebei medical university taken after at least time of a half year. Results: The chose patients assessed completely: clinically and radiologically, were taken for surgery, after the applicable lab investigations. The indications fractures were treated with according to the SCHATZKER’S composes as needs be with CRIF, with percutaneous cannulated cancellous screws, ORIF with buttress plate with or without bone grafting, external fixator. The early extent of development started not long after the surgery. No weight bearing up to 6-8 weeks. The full weight bearing conceded until 12 weeks or finish fractures union. Immobilization in insecurity set fractures proceeded for 3-6 weeks by the POP cast. The knee scope of movement was good to great, gait and weight bearing after the total union was attractive. out of total patients, we found 5 complications is 10 patients. Knee stiffness in 3 cases, Malunion in 2 cases, Infection and wound dehiscences in 3 cases, External lag in 1 cases, depression in 1 cases. Conclusion: Surgical management of tibial plateau fractures will give great anatomical reduction and inflexible fixation to reestablish articular congruity, facilitate early movement and reducing post-traumatic OA and therefore to accomplish optimal knee function.
Authors and Affiliations
Md. Abdullah Al Mamun, Mohammad Abdul Mazid, Md. Al Hasan Ibneh Fahad, Pengcheng Wang. Md,Phd.
Keywords
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