Vol 3 | Issue 2 | Sep – Dec 2017 | page: 12-15 | Prafulla Herode, Abhijeet Shroff, Mohan Sadaria, Jeegar Patel, Satish Uchale
Author: Prafulla Herode , Abhijeet Shroff , Mohan Sadaria , Jeegar Patel , Satish Uchale .
Department of Orthopaedics, Dr. D. Y. Patil Hospital and Medical College,Pimpri,Pune, India,
Senior Consultant and Orthopaedic Surgeon, Sadaria Orthopaedic Hospital, Surat, Gujarat, India.
Address of Correspondence
Dr. Abhijeet Shroff,
Department of Orthopaedics, Dr. D. Y. Patil Hospital and Medical College, Pimpri, Pune, India.
Learning Points for this Article: Thus we learned that Displaced/Depressed intraarticular fractures belonging to Schatzker’s type I, II and III should be treated by surgical methods,ORIF gives satisfactory results by maintaining precise articular congruity and preventing early osteoarthritis.
Background: Tibial plateau fractures are quite challenging for orthopaedic surgeons,and earlier, most of tibial plateau fractures were treated conservatively which resulted in joint line incongruity, early osteoarthritis, and knee stiffness. Now, treatment of these fractures has changed. We did this study to compare the outcome of different modalities of treatment in tibial plateau fractureswith advantages and disadvantages.
Materials and Methods: During 2 years from April 2015 to May 2017, 30 patients were treated for closed tibial plateau fractures, of which 4 patients were treated by conservative methods, and 26 patients were treated by surgical methods.
Results: Result showed the higher involvement of young, middle-aged males than older females with maximum Type I fractures. Operative results were better in complicated fractures which treated with buttress plate where there was no much difference in the outcome of simple TypesI and II fractures, and hence, we preferred conservative modality for them.
Conclusion: The correct method of management of tibial condylar fractures depends on good clinical judgment. If rational treatment is to be instituted, the surgeon must have sound knowledge of the pattern of the injury and a clear understanding of the knee examination and imaging studies and must be familiar with a variety of techniques available at present for treating tibial condyle fractures.
Keywords: Tibial plateau, conservative, cannulated cancellous screw, buttress plate.
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|How to Cite this article: Herode P, Shroff A, Sadaria M, Patel J, UchaleS. Comparison of Various Modalities of Treatment for Tibial Plateau Fracture. Trauma International Sep – Dec 2017;3(2):12-15.|