Analysis of Functional Outcome of Column-specific Fixation of Complex Tibial Plateau Fractures: A Prospective Study
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Date
2019-03
Journal Title
Journal ISSN
Volume Title
Publisher
International Research Organization for Life & Health Sciences (IROLHS)
Abstract
Introduction: Most complex tibial plateau fractures are a result of the high-energy injury. Resulting comminution makesinterpreting of fracture patterns difficult. Fully understanding these fractures is the basis for successful treatment.Aim: The aim of this study was to analyze the functional and radiological outcome of column-specific fixation of tibial plateaufracture.Materials and Methods: This was a prospective cohort study; 10 patients with tibial plateau fractures with displaced complextibial plateau fractures operated at Government Rajaji Hospital, Madurai, were included in this study. The follow-up period was36 months. The fractures were evaluated by computed tomography using Lu three-column concepts and managed with lowprofile locking plate system as per column-specific fixation. Follow-up analysis was made using Modified Rasmussen’s Clinicaland Radiological Criteria.Results: In our study, 70% of the patients were in active productive age group (30–50 years). 90% of the patients were male.30% of single-column fractures (LUO) (Schatzker type IV 10% and Hohl and Moore Type I coronal split fracture 20%), 30% oftwo-column fracture (LUO) (Schatzker Type IV 20% and Type V 10%), and 40% of three-column fractures (LUO) (SchatzkerType V 40%) were included. In this study, 40% of patients had an excellent outcome, 50% of patients had a good outcome,10% of patients had poor clinical, and 10% had fair radiological outcome. One patient developed wound necrosis, for whichflap cover is done and eventually patient developed deep infection for whom implant removal was done after 6 months.Conclusion: Three-column fixation is a new fixation concept in treating complex tibial plateau fractures, especially useful formultiplanar fractures involving posterior column with excellent functional outcome.
Description
Keywords
A combined approach, Three-column fixation, Tibial plateau fracture
Citation
N Thanappan, T Saravanamuthu, Singaravel K, Thirumurugan M. Analysis of Functional Outcome of Column-specific Fixation of Complex Tibial Plateau Fractures: A Prospective Study. International Journal of Scientific Study. 2019 Mar; 6(12): 128-132