Midterm results of postero�medial column shearing type Tibial Plateau Fracture :A Retrospective study

Dr.Yogesh R Gaikwad; Dr.Tushar Jibhau Deore; Dr. Vijay Vasant Nemade; Dr.Gaurav Nitin Pawar

Volume : VI, Issue : IX, September - 2016

Midterm results of postero�medial column shearing type Tibial Plateau Fracture :A Retrospective study

Dr. Yogesh R Gaikwad, Dr. Tushar Jibhau Deore, Dr. Vijay Vasant Nemade, Dr. Gaurav Nitin Pawar

Abstract :

Background:Posterior column sheå tibial plateau fractures are not very common as anterolateral or anteromedial column fractures. Generally posterior fragment of these fracture could not be exposed & reduced well in conventional anterior approaches.Osteosynthesis with buttress plate by postero–medial approach to manage posteriomedial tibial fracture can achieve satisfactory results. Material & Methods: 23patients with displaced posteromedial fracture of tibial plateau operated from January 2011 to June 2013 were retrospectively studied. All patients were treated by posteromedial approach and internbal fixation with T or L plate in buttress mode. Results: After a minimumu follow up of 36 months the average range of knee motion is 5–1100 of flexion at the final follow up. In all the patients fracture was united and have maintained satisfactory articular reduction without any major instability and had acceptable alignments. No major complications occurred in our study group. Rasmussen functional 30 point grading system result show excellent in 10 (44%),good in 12 (52%) and fair in 1 (4%). Conclusion: Posteromedial column sheå type of tibial plateau fracture gives good functional results at midterm follow up when treated with butress osteosynthesis by posteromedial approach.