A PROSPECTIVE STUDY OF CLINICAL OUTCOMES OF MANAGEMENT OF ARTHROSCOPIC ASSISTED TIBIAL PLATEAU FRACTURES FIXATION.

DR.BIBHUDUTTA MALLA; DR. PRITIRANJAN PATRA; PROF.DR.SUNIL DASH

Volume : IX, Issue : I, January - 2020

A PROSPECTIVE STUDY OF CLINICAL OUTCOMES OF MANAGEMENT OF ARTHROSCOPIC ASSISTED TIBIAL PLATEAU FRACTURES FIXATION.

Dr. Bibhudutta Malla, Dr. Pritiranjan Patra, Prof. Dr. Sunil Dash

Abstract :

Introduction : Tibia plateau fractures are complex intra–articular fractures which needs anatomical reduction and absolutely stable fixation to achieve good results which is a challenge for Orthopeadic Surgeon. Materials & method: A total of 28 patients with tibial plateau fractures (Schatzker type I–VI) were enrolled in the study which done between november 2017 to october 2019. Results : In our study about tibia plateau fractures in 28 patients which was managed with arthroscopic assisted internal fixation with plating and with or without bone grafting . Intra operative findings showed lateral meniscal tear in 6 patients medial meniscal tear in 1 patient . Clinical and radiological Rasmussen score was excellent in 75% of the patients. Complications like infection in 3 patients , malunion in 2 patients, wound dehisence in 2 patients. Conclusion: Arthroscopic assisted tibial plateau fixation is a preferred treatment for tibial plateau fracture because arthroscopy gives a precise visualization of pathology in the knee joint which can be meticulously addressed which gives early mobility and excellent range of movements.