RESEARCH PAPER
Results of closed reduction and percutaneous screw fixation in tibia plateau fractures
Varun Vijay 1  
 
 
More details
Hide details
1
Department Of Orthopaedics, Integral Institute Of Medical Sciences And Research, Dasauli, Kursi Road, Lucknow-226026, India.
CORRESPONDING AUTHOR
Varun Vijay   

Assistant Professor, Department of Orthopaedics, Integral Institute of Medical Sciences and Research, Dasauli, Kursi Road, Lucknow-226026, India.
 
J Pre Clin Clin Res. 2016;10(2):79–81
KEYWORDS
ABSTRACT
Introduction:
Tibial plateau fractures are common injuries that require anatomic reduction to obtain the best functional results. Advances in mechanization and the acceleration of travel has been accompanied by an increase in the number and severity of fractures, and those of the tibial plateau are not an exception. This fracture constitutes approximately 1% of all fractures. The primary goal in the management of proximal tibial articular fracture is a stable, congruous, pain-free, mobile joint.

Objectives:
To study the technique, results, and complications of percutaneous cancellous screw fixation for tibial plateau fractures.

Material and Methods:
22 patients treated with percutaneous screw fixation were followed-up for a period of 18 months and their functional outcome assessed according to the Modified Delamarter functional scoring system.

Results:
According to the Modified Delamarter functional scoring system, a 91% – excellent to satisfactory result was achieved, and 9% poor results due to non-union at the fracture site.

 
REFERENCES (21)
1.
Carlson DA. Posterior bicondylartibial plateau fractures. J Orthop Trauma. 2005; 19: 73–8.
 
2.
Apley AG. Fractures of lateral tibia condyle treated by skeletal traction and early mobilization. J Bone Joint Surg Br. 1956; 38-b: 699–708.
 
3.
DeCoster TA, Nepola JV, el-Khoury GY. Cast brace treatment of proximal tibia fractures. A ten-year follow-up study. Clin Orthop. 1988; Jun;(231): 196–204.
 
4.
Sankhala SS, Gupta SP, Sharma JC, Agarwal S. Tibial condylar fractures treated with traction and early mobilisation (report on study of 75 cases). J Indian Med Assoc. 1990 Nov; 88(11): 309–11.
 
5.
Shybut GT, Spiegel PG. Tibial plateau fractures. Clin Orthop. 1979; 138: 12.
 
6.
Delamarter R, Hohl M. The cast brace and tibial plateau fractures. Clin Orthop. 1989 May; (242): 26–31.
 
7.
Hohl M. Treatment methods in tibial condyle fractures. South Med J. 1975; 68: 985.
 
8.
Lansinger O, Bergman B, Korner L, Andersson GB. Tibial condylar fractures. A twenty-year follow-up. J Bone Joint Surg Am. 1986 Jan; 68(1): 13–9.
 
9.
Blokker CP, Rorabeck CH, Bourne RB. Tibial plateau fractures. An analysis of the results of treatment in 60 patients. Clin Orthop. 1984 Jan-Feb; 182: 193–9.
 
10.
Savoie FH, Vander Griend RA, Ward EF, Hughes JL. Tibial plateau fractures. A review of operative treatment using AO technique. Orthopedics 1987 May; 10(5): 745–50.
 
11.
Tscherne H, Lobenhoffer P. Tibial plateau fractures. Management and expected results. Clin Orthop. 1993 Jul; 292: 87–100.
 
12.
Gahr R, Thierack C, Kramer G. Percutaneous reconstruction and fixation of closed fractures of the tibial head. Results of a follow-up study. Zentralbl Chir. 1986; 111(20): 1241–9.
 
13.
Harper MC, Henstorf JE, Vessely MB, Maurizi MG, Allen WC. Closed reduction and percutaneous stabilization of tibial plateau fractures. Orthopedics 1995 Jul; 18(7): 623–6.
 
14.
Sirkin MS, Bono CM, Reilly MC, Behrens FF. Percutaneous methods of tibial plateau fixation.Clin Orthop. 2000 Jun; 375: 60–8.
 
15.
Keogh P, Kelly C, Cashman WF, McGuinness AJ, O’Rourke SK. Percutaneous screw fixation of tibial plateau fractures. Injury 1992; 23(6): 387–9.
 
16.
Koval KJ, Polatsch D, Kummer FJ, Cheng D, Zuckerman JD. Split fractures of the lateral tibial plateau: evaluation of three fixation methods. J Orthop Trauma 1996; 10(5): 304–8.
 
17.
Schatzker J, McBroom R, Bruce D. The tibial plateau fracture. The Toronto experience. Clin Orthop. 1979; 138:98–104.
 
18.
Burri, et al: Fracture of tibial plateau.Clin Orthop. 1979; 138: 84.
 
19.
Gahr R, Thierack C, Kramer G. Percutaneous reconstruction and fixation of closed fractures of the tibial head. Results of a follow-up study. Zentralbl Chir 1986; 111(20): 1241–9.
 
20.
Mitchell MD. Healing of articular cartilage in intraarticular fracture(rabbits) J Bone Joint Surg Am. 1980; 62(4): 628–34.
 
21.
Schatzker J. Fracture of the tibial plateau. In: Schatzker J, Tile M, editors. The rationale of operative fracture care. Berlin: Springer-Verlag; 1987. p. 279–95.
 
eISSN:1898-7516
ISSN:1898-2395