A clinical and radiological study of the fixation with  acomparision of raft screw construct of 3.5mm cancellous  screws without bone augment over 6.5mm cancellous screws in depressed tibial plateau fractures

Dr  G.S Kulkarni; Dr Sunil Kulkarni; Dr Karan Choudhry

Volume : IV, Issue : VIII, August - 2015

A clinical and radiological study of the fixation with acomparision of raft screw construct of 3.5mm cancellous screws without bone augment over 6.5mm cancellous screws in depressed tibial plateau fractures

Dr G. S Kulkarni, Dr Sunil Kulkarni, Dr Karan Choudhry

Abstract :

Objective: The conventional teaching of an orthopedic surgeon during his learning is to deal with a tibial plateau split depressed fracture with help of a buttress plate along with bone augmentation.This study was designed to evaluate the functional and radiological outcomes of patients with lateral condyle split depressed tibial plateau fractures treated with lateral periarticular plate without filling the void left by elevating the depressed fragments and a posteromedial buttress plate for medial condyle fracture if present. Methods: Seventy seven cases of complex (A.O.type B.3.1 and C.3.1) tibial plateau fractures were treated with lateral peri–articular plate and a postero–medial buttress plate for medial condyle if associated in our centre from 7th January 2008 to 8th March 2011 .Seventy seven patients were followed up for a period ranging from 29 months ( 16–43 months ) and evaluated for the radiological and final clinical outcomes by radiological measurement and by a standard questionnaire . Results: The x rays at the latest follow up did not show any late joint collapse despite the mode of fixation or failure of fixation .Lysholm scoring done at the final follow–up showed an overall mean having results good to excellent. Conclusion: Fixation with a peri articular proximal tibia plate gives adequate support to the subchondral bone without the need to fill the void with bone graft/bone substitute thus helps to achieve the goal which is bone union and thus reducing the morbidity and cost of the surgery.