PATTERN OF TIBIAL PLATEAU FRACTURE TREATED BY PERCUTANEOUS SCREW FIXATION

Sunil Kumar, Naeem ul Haq, Hashmat Ullah, Sattar Bakhsh Awan, Muhammad Akhlaq, Sheikh Abdur Rashid, Sheikh Abdur Rashid

Abstract


Background: The objective of the study was to determine the distribution, determinants and complications of tibial plateau fracture treated by percutaneous screw fixation.
Material & Methods: This cross sectional study was conducted in Orthopedics department, Dow OJHA Hospital and Civil Hospital Karachi, from July 2014 to December 2015. Sample size was 58 patients admitted through the outpatient department and casualty department of Orthopedics. The tibial plateau fractures were treated by percutaneous screw fixation. All patients underwent for base line investigation. Inclusion criteria were tibial pltteau fractures which were of closed type, age 20 to 65 years, both gender and fresh fracture. Exclusion criteria was age below 20 years, patients not willing for surgery, patients not medically fit for surgery due to associated severe chest or abdominal injuries. Demographic variables were gender, age, age groups (20-30, 31-40, & 41-50 years). Research variables were mode of injury (road traffic accident, history of assault, injury following fall), complication (infection, screw loosening, pain during walking, knee stiffness, ankle stiffness and delayed union). Data was analyzed by using SPSS version 20.
Results: Out of 58 patients, 89.65% were males and 10.34% were females showing male preponderance because of traveling and working in fields and factories. In our study, 69.35% of patients sustained injury following road traffic accident, history of assault 20.96% cases and 9.67% patients sustained injury following fall. Complications seen in this study were wound infection in 2 patients, screw loosening in 2 patients, pain during walking in 12.90%, knee stiffness in 12.90%, ankle stiffness in 3.22% and delayed union in 3.22% patients.
Conclusion: Tibial fractures are common in young males. RTA is common cause; Knee stiffness and ankle stiffness are the common complications of tibial fractures treated by percutaneous screw fixation.

Keywords


Fracture; Percutaneous screw fixation; Tibia.

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References


Jacofsky DJ, Haidukerwych GJ. In sall & Scott Surgery of the knee. Philadelphia: Churchill Livingstone; 2006. Tibia plateau fractures. Scott WN; pp.1133-46.

Giannoudis PV, Papakostidis C, Roberts C. A review of the management of open fractures of the tibia and femur. Bone Joint J 2006;88:281-9.

Yoon RS, Liporace FA, Egol KA. Definitive fixation of tibial plateau fractures. Orthop Clin North Am 2015;46:363-75.

Molenaars RJ, Mellema JJ, Doornberg JN, Kloen P. Tibial plateau fracture characteristics: computed tomography mapping of lateral, medial, and bicondylar fractures. J Bone Joint Surg Am 2015 ;97:1512-20.

Elsoe R, Larsen P, Nielsen NP. Population-based epidemiology of tibial plateau fractures. Orthopedics 2015;38:e780-6.

Volpin G, Dowd GS, Stein H. Degenerative arthritis after intra-articular fractures of the knee. Long-term results. J Bone Joint Surg Br 1990;72:634-8.

Schatzker J, McBroom R, Bruce D. The tibial plateau fracture: the Toronto experience 1968-1975. Clin Orthop 1979;138:94-104.

Roberts JM. Fractures of the condyles of the tibia: an anatomical and clinical end-result study of one hundred cases. J Bone Joint Surg 1968;50:1505-2l.

Jensen DB, Rude C, Duus B, Bjerg-Nielsen A. Tibial plateau fractures. A comparison of conservative and surgical treatment. Bone Joint J 1990;72:49-52.

Sen RK, Soni A, Saini UC, Singh D, Yuan T. Internal fixation and bone grafting for intraarticular nonunion of tibial plateau: a report of four cases. Chin J Traumatol 2011;14:371-5.

Vasanad GH, Antin SM, Akkimaradi RC, Policepatil P, Naikawadi G. Surgical management of tibial plateau fractures - a clinical study. J Clin Diagn Res 2013;7:3128-30.


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