Assessing the functional and Radiological outcome in surgically treated closed tibial plateau fractures in adults: A case series of 40 cases

Abstract

Introduction: Knee being one of the major weight bearing joints of the body, fractures around it will be of paramount importance. This study is to analyze the functional outcome of CRIF or ORIF with or without bone grafting in tibial plateau fractures in adults. Materials and Methods: 40 cases of tibial plateau fractures treated by various modalities were studied from 1-8-2013 to 31-8-2015 and followed for a minimum of 6 months. Fractures were evaluated using Modified Rasmussen’s Clinical, Radiological grading system.Results: The selected patients were evaluated thoroughly and after the relevant investigations, were taken for surgery. The fractures were classified as per the SCHATZKER’S types and operated accordingly with CRIF with Percutaneous cannulated cancellous screws, ORIF with buttress plate/LCP with or without bone grafting.Immobilization of fractures continued for 3 weeks by POP slab. Early range of motion was then started. Weight bearing up to 6- 8 weeks was not allowed. The full weight bearing deferred until 12 weeks or complete fracture union. The knee range of motion was excellent to very good, gait and weight bearing after complete union was satisfactory, knee stiffness in 3 cases, wound dehiscence and infection in 1 case and non-union in none of our cases was noted.Conclusion: Functional outcome is better in operatively treated tibial plateau fractures in adults, because it gives excellent anatomical reduction and rigid fixation to restore articular congruity and early motion thereby preventing knee stiffness.