A STUDY ON FUNCTIONAL OUTCOME OF MINIMAL INVASIVE FRACTURE FIXATION USING LOCKING COMPRESSION PLATE FOR Tibial Plateau Fractures

Prakash.S; Divya. B.V.

Volume : VI, Issue : VIII, August - 2016

A STUDY ON FUNCTIONAL OUTCOME OF MINIMAL INVASIVE FRACTURE FIXATION USING LOCKING COMPRESSION PLATE FOR Tibial Plateau Fractures

Prakash. S, Divya. B. V.

Abstract :

The aim of the study was to find out the functional outcome of proximal tibial fractures treated with locking compression plate by minimal invasive percutaneous technique. All Patients admitted to the hospital with proximal tibial fractures were included in the study. The Demographic data, type of fractures (Schatzker classification), treatment given, pain score, Functional outcome as knee range of movements during discharge and follow–up upto 1 year were done and results were graded according to Rassmussen’s functional grading system. The present study involved 20 patients of proximal tibial fractures, treated with the locking compression plate by minimal invasive technique (MIPO). Mostly the age groups of patients were between 41 – 60 years (60%) and Mean age group was 45.7 years. Majority of the patients had right sided injury and mode of injury was RTA in all cases. In our study majority 30% of the patients had Schatzker – Type II fracture followed by 25% Schatzker – Type IV fractures. All the patients were given Epidural Anaesthesia during surgery and 35% of the patients had undergone additional procedure along with MIPO in which Bone grafting was the common procedure (20%) done. Considering the functional outcome of our technique, majority 35% of patients had 0 – 90? flexion Range of Movements during Discharge, 90% of them had good relief of pain by 12 weeks & 90% of them had full range of movements by 6 months. Two patients had extensor lag of about 10? which improved on physiotherapy by 3 months. Minimally invasive percutaneous plating can provide favourable results in the treatment of proximal tibial fractures. Minimal invasive surgery that minimizes soft tissue trauma is the key to good patient outcome.