DOI: 10.36347/sasjs.2022.v08i11.005

Pages: 684-688

Background: Because of intra-articular nature, tibial plateau fractures are significant and difficult to manage. 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. Although 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 and proving the superiority of one over the other. Aim of the Study: The study aimed to evaluate the functional outcome of surgical management of tibial plateau fractures. Methods: It was a prospective observational study conducted in the Trauma Center, Bangabandhu Sheikh Mujib Medical College (BSMMC) & Hospital, Faridpur, Bangladesh during the period from January 2021 to December 2021. In total 85 more than 20 years old patients of both sexes with tibial plateau fractures attended to the mentioned hospital during the first six months of the study were selected as the study population. Obeying the inclusion criteria of this study, only simple fractures of tibial plateau presenting in patients requiring open or closed reduction as well as internal fixation to restore the articular anatomy were finalized for this study. Result: In this study, according to the Schatzker classification and outcomes as per the recommendation of Rasmussen et al., 89% (n=76) patients got acceptable outcomes whereas the rest 11% (n=9) did not get satisfactory results. For majority (55%) of the patients, the union time was found <12 weeks whereas in 2% cases (n=2) incidence of non-union was observed. Besides these, in general grading of patient’s outcome as per patient’s satisfaction, 56% patients got excellent results. Conclusion: In this study we found satisfactory outcomes in majority of the patients but in case of more than 10% cases outcomes were not acceptable. .............