IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-3-14682 Original Research Paper A Prospective Study: To assess the outcome of the proximal tibial fracture treated with open reduction internal fixation. S P Gupta Dr. March 2018 7 3 01 02 ABSTRACT

 

Introduction: Proximal tibia being involved in body weight transmission through knee joint and leg, it plays a vital role in knee function and stability. Fractures of proximal tibia have historically been difficult to treat because of its subcutaneous location of the anteriomedial surface of the tibia. Severe bone and soft tissue injuries are not infrequent and there is high incidence of open fracture compared with other long bones.

Materials and Methods:

A prospective study was conducted from December 2014–December 2016 at Mahatma Gandhi University of Medical Sciences & Technology, Jaipur after obtaining the ethical clearance, to study functional output of tibial condylar fractures managed with locking plate. We studied of 30 cases of tibial condylar fractures.

Results:

In our series Excellent results were achieved in 17 cases (56.67%), Good results in 9 cases (30%) and Fair in 4 cases (13.33%) (Modified Rassmussen‘s Knee Scoring System was used tu assess the outcome).

Conlusion:

Optimal timing of tibial plateau fractures surgery, proper assessment of fracture pattern usinf CT sacn and choice of inplant is very important in otcome of surgery . The advantage of lateral locking plate is that it can be used in medial column fracture with lateral column , thus prevent from dual incision