A prospective study of clinical outcomes of management of arthroscopic assisted tibial plateau fractures fixation

Vol 41 | Issue 1 | Jan-Jun 2020 | page: 17-20 | Bibhudutta Mall, Sunil Kumar Dash, Aurobindo Das, Sanket Mishra,
Harekrushna Sahu


Authors: Bibhudutta Mall [1], Sunil Kumar Dash [1], Aurobindo Das [1], Sanket Mishra [1], Harekrushna Sahu [1]

[1] Department of Orthopaedics, Hi-Tech Medical College & Hospital, Bhubaneswar, Odisha India.

Address of Correspondence

Dr. Bibhudutta Mall,
Hi-Tech Medical College & Hospital, Bhubaneswar, Odisha India
E-mail: bibhuduttamail_013@live.com


Abstract

This is a prospective case study about tibia plateau fractures in 28 patients which was managed with arthroscopic assisted internal fixation with plating and with or without bone grafting. In our study we saw domestic fall was a cause of fracture in about 60 yrs age patient with osteoporosis . Intra operative findings showed lateral meniscal tear in 6 patients medial meniscal tear in 1 patient which were repaired or menisectomy was done accordingly. In most of the patient fracture union seen by 4 to 6 months. Radiological Rasmussen score was Excellent in 53.5% in 3 months of follow up where as it improved to 75% by 6 months and 1 year follow up. Clinical Rasmussen score was Excellent in 50% of patients in 3 months where as it was improved to 71.4% by 6 months and 75% by 1 year follow up. Complications like infection in 3 patients , malunion in 2 patients, wound dehiscence in 2 patients. 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.
Keywords: Intra-articular fracture , Tibial plateau , Arthroscopy-assisted internal fixation.


References

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How to Cite this Article: Mall B, Dash S, Das A, Mishra S, Sahu H. | A prospective study of clinical outcomes of management of arthroscopic assisted tibial plateau fractures fixation | Odisha Journal of Orthopaedics & Trauma | Jan-June 2020; 41(1): 17-20.

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