FUNCTIONAL AND RADIOLOGICAL OUTCOME OF POSTERIOR COLUMN FRACTURE FIXATION IN TIBIAL PLATEAU FRACTURES- A CASE SERIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 21
Abstract
BACKGROUND Posterior tibial plateau fractures are unstable fractures, which should to be fixed for anatomical reduction and better clinical outcome following surgical intervention and Luo 3 column classification is effective in identification of fractures and preoperative planning. Posterior plate osteosynthesis using posterior approach in supine or prone position were used alone or in combination with anterolateral plate osteosynthesis or cancellous screw fixation as per the fractures configuration for fixation. Patients were followed up by using modified Rasmussen clinical and radiological criteria. Aims and Objectives- To evaluate the results of posterior plate osteosynthesis for displaced tibial plateau fractures. MATERIALS AND METHODS 10 patients with tibial plateau fractures with posterior column involvement were included in the study. 10 patients (9 males and 1 female) with tibial plateau fractures with posterior column involvement (Luo 3 column classification: 1 column- 3 patients, 2 column- 3 patients, 3 column- 4 patients) were treated by posterior plate osteosynthesis alone or combined with screw/anterolateral plate osteosynthesis according to the fracture morphology between Sep 2015 and Aug 2017. Functional and radiological outcome was assessed using modified Rasmussen’s clinical and radiological criteria. RESULTS All 10 patients (9 males and 1 female) are classified according to Luo 3 column classification (1 column- 3 patients, 2 column- 3 patients, 3 column- 4 patients) with mean follow-up of 13.7 months. None of them developed varus collapse and all fractures were united within 3 to 4 months. One patient developed deep wound infection and was treated by flap cover. Clinical and radiological outcome was excellent in 40% and good in 60% of the patients. CONCLUSION Posterior plate osteosynthesis improve the strength and stiffness of posteromedial fragment fixation and had a buttress effect preventing descent of the fragment under load and reduce the varus collapse and increase in range of movements with minimal soft tissue complications if surgery is done after soft tissue condition improves.
Authors and Affiliations
Pugalenthi P. V, Sivakumar R, Prem Kumar T. C, Senthil Kumar K
Keywords
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- EP ID EP431656
- DOI 10.14260/jemds/2018/592
- Views 88
- Downloads 0
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