“An Assessment of Surgical Management of Tibial Plateau Fracture”

Abstract

Background: Fractures around the knee joint especially tibial plateau fracture are very crucial for surgical management. Low and high-energy tibial plateau fractures usually result from axial loading in combination with valgus stress forces, present a variety of soft tissue and bony injuries that can produce permanent disabilities. Since there are various modalities for fixation of these fractures with satisfactory results, but there is no general consensus as to which modality is the best in terms of functional outcome. Aim of the study: The aim of this study was to assess the functional outcome of surgical management of tibial plateau fractures. Methods: This prospective observational study was conducted in the Department of Orthopedics, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh during the period from January 2020 to December 2020. In total 28 patients of several age groups with tibial plateau fractures attended to the mentioned hospital during the first six months of the study were selected as the study population. Gustilo Anderson Grade I fractures of tibial plateau presenting in patients requiring open or closed reduction and internal fixation to restore the articular anatomy were finalized for this study. All data were processed, analyzed and disseminated by MS Office and SPSS program as per need. Result: In this study, for most of the cases the treatment duration was < 10 days which was among 75%. As complication ‘knee stiffness’ was found among the highest number of patients which was in 10.71%. The average duration of hospitalization of the participants was 7.5 days (range 4-8 days). In this study, we found satisfactory outcome in 25 patients which was 89% and not satisfactory in 3 patients which was 11% among all the participants. Finally, the end result as per Rasmussen’s criteria was ‘Excellent’ in 15 (53.57%), ‘Good’ in 10 (35.71%), fair in 2 (7.14%) and poor in 1 (3.57%) patient. Conclusion: In this current study we found satisfactory o

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