DOI: 10.36347/sjams.2016.v04i03.025

Pages: 750-754

Recently minimally invasive procedures are now gaining popularity in orthopaedic surgeries as they limits soft tissue infection at fracture site and have fewer complications. These procedures reduce morbidity and avoid many of the complications of both conservative and operative treatment and can have faster rehabilitation. The present prospective study was carried out in Department of Orthopaedics, Deendayal Upadhyaya Hospital, and New Delhi between October 2007 to June 2010. The study included 33 patients of tibial plateau fracture. Relevant clinical history was taken and comprehensive physical examination with local examination was done. A thorough radiological evaluation was done by taking X -ray knee including leg AP view, Lateral view, Oblique view (Internal and External), Tibial plateau view (10-15 degree caudally tilted) and Traction view. SCHATZKER‟S classification was used to classify tibial plateau fracture. The patients were treated by pre-operative skeletal traction and minimal soft tissue dissection using minimally invasive methods. Implants used were buttress plates and screws, cancellous cannulated partially threaded screws and Arbeitsgemeinschaft für Osteo synthesefragen (AO) tubular external fixators. Finally, the plate was slide extra periosteally through a very short incision. In results the most common fracture in our series was Schatzker‟s type II fracture (nine patients) followed by type VI (eight patients) followed by type V (six patients).Age range was between 24 to 61 years with majority of patients in 26 to 35 years of age group. All cases with type I and type IV fractures had excellent results. Seven cases (78%) of type II fractures had excellent results and rest 2 cases (22%) had good result. One case of both type V and type VI fracture had fair result.