SHORT TERM OUTCOME OF PATIENTS WITH PROXIMAL TIBIAL FRACTURES (BICONDYLAR) OPERATED BY DOUBLE PLATE FIXATION WITH SINGLE ANTERIOR INCISION”. (A PROSPECTIVE PARALLEL NON RANDOMIZED OPEN LABEL STUDY OF 30 CASES)

Dr. Prerak Yadav; Dr. Vinodkumar Gautam; Dr. Pinakin I. Vora

Volume : V, Issue : II, February - 2016

SHORT TERM OUTCOME OF PATIENTS WITH PROXIMAL TIBIAL FRACTURES (BICONDYLAR) OPERATED BY DOUBLE PLATE FIXATION WITH SINGLE ANTERIOR INCISION”. (A PROSPECTIVE PARALLEL NON RANDOMIZED OPEN LABEL STUDY OF 30 CASES)

Dr. Prerak Yadav, Dr. Vinodkumar Gautam, Dr. Pinakin I. Vora

Abstract :

 AIMS AND OBJECTIVES: To evaluate the results of proximal tibia (bicondylar) fracture fixed with dual plate via single anterior midline incision by radiological criteria and clinical rating with knee society score. MATERIALS AND METHODS: After institutional review board approval and informed written consent from patients, this prospective case controlled clinical study was carried out in 30 patients, with ASA physical status I and II and scheduled for elective general surgery. All patients had anterior–posterior (AP) and lateral radiographs. The patients were assessed preoperative and postoperatively in form of range of movements, pain, stability, reduction of fracture and early mobilisation. All patients were operated with dual platting for proximal tibia via anterior midline incision and were assessed postoperatively for range of movements, stability and graded according to the knee society score. RESULTS:–Among 30 patients; according to knee society score results are Excellent in 80%, good in 3.33%, fair in 13.33% and poor in 3.33% patients. Average trauma surgery interval was 4 days with mean operative time of around 135 minutes. Mean hospital stay was approximately of 13 days. Radiological evaluation showed that none of our cases had non union. Union was seen radiologically at around 11 weeks. 90% of cases had no angular deformity and among them 60% were pain free at the end of 6 months follow up. Clinically 84% patients achieved 120 degree range of flexion movement and full muscle power. CONCLUSION: The double plate fixation with single anterior incision is a good, effective and simple procedure in treatment of complex proximal tibial fractures (Types V and VI of Schautzker classification) with lower risk for deep infection, complications providing stable and rigid anatomical reduction and fixation to facilitate early mobilization.