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Scholars Academic Journal of Biosciences | Volume-4 | Issue-10
A Prospective Study of the Functional Outcome of Locking Compression Plating for Closed Schatzker Type V and Type Vi Tibial Plateau Fractures
Dr. Pradyumna Sharma, Dr. Venkatachalam K, Dr. Pugazhendhi G, Dr. Madhukar
Published: Oct. 30, 2016 |
263
172
DOI: 10.36347/sajb.2016.v04i10.012
Pages: 849-862
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Abstract
Fractures involving proximal tibia compromise the knee functionality, mobility and stability. Tibial plateau fractures are caused by high energy trauma and as much as 25% of these fractures involve both the tibial condyles. In this prospective study, 28 cases of closed type V and type VI Schatzker’s tibial plateau fractures were treated with locking compression plate, either by MIPPO technique or ORIF and were studied for their functional outcome by Bostman score and their radiological outcome by modified Rasmussen score. This study was done over a period of 3 years from September 2013 to August 2016. Depending on the case requirement locking compression fixation was done, either by MIPPO or ORIF technique. In the present study, using the Bostmans’ score, 28.6% of excellent, 57.2% of good and 14.2% of poor results were obtained. We conclude that locking compression plate offers excellent biological fixation in an otherwise complex fracture pattern as seen in tibial plateau skeletal injuries.