Surgical Management of Tibial Plateau Fractures with Locking Compression Plate

Authors

  • Bipan Shrestha Universal College of Medical Sciences, Bhairahawa, Nepal
  • Prakriti Raj Kandel Universal College of Medical Sciences, Bhairahawa, Nepal
  • Kishor Man Shrestha Universal College of Medical Sciences, Bhairahawa, Nepal
  • Shreshal Shrestha Universal College of Medical Sciences, Bhairahawa, Nepal
  • Rakesh Yadav Universal College of Medical Sciences, Bhairahawa, Nepal

DOI:

https://doi.org/10.3126/jucms.v9i01.37953

Keywords:

Functional outcome, Locking compression plate, Tibial plateau fracture

Abstract

 

INTRODUCTION

Tibial plateau fracture is a common fracture that accounts for 1-2% of all fracture. Various treatment options including proximal tibial plating with locking compression plates are available for the treatment of tibial plateau fracture. This study was done to determine the clinical profile and functional outcome of tibial plateau fracture following locking compression plating.

 

MATERIAL AND METHODS

This prospective and observational study was carried out in Orthopedics Department of Universal College of Medical Sciences-Teaching Hospital (UCMS-TH) from December 2018 to July 2020. After Ethical clearance (UCMS/IRC/224/18) from Institutional Review Board (IRB) of UCMS-TH and informed written consent, all patients with tibial plateau fracture (Schatzker II-VI) who fulfilled the inclusion criteria were enrolled in the study and treated with locking compression plate. Post-operatively patients were regularly followed at 6 weeks, 3 months and 6 months for clinical, radiological and functional assessment. Descriptive statistics like frequency, percentage, mean and standard deviation were used to analyze the data.

 

RESULTS

In our study of 30 cases, the mean age was 37.77 ±15.65 years. Most of the cases were Schatzker type VI (13 patients) and type II (9 patients). The average duration for fractures union was 23.4 ±2.1 weeks. Superficial wound infection was the common complication seen in five cases. At six months, the mean knee society score (KSS) was 78 ±7.22 and majority of patients (19 patients) had good results.

 

CONCLUSION

Locking compression plate has an excellent functional and radiological outcome. It is an effective implant that can be adopted for the treatment of tibial plateau fractures in adults.

 

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Author Biographies

Bipan Shrestha, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Orthopaedics and Trauma Surgery

Prakriti Raj Kandel, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Orthopaedics and Trauma Surgery

Kishor Man Shrestha, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Orthopaedics and Trauma Surgery

Shreshal Shrestha, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Orthopaedics and Trauma Surgery

Rakesh Yadav, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Orthopaedics and Trauma Surgery

 

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Published

2021-06-22

How to Cite

Shrestha, B., Kandel, P. R., Shrestha, K. M., Shrestha, S., & Yadav, R. (2021). Surgical Management of Tibial Plateau Fractures with Locking Compression Plate. Journal of Universal College of Medical Sciences, 9(01), 18–23. https://doi.org/10.3126/jucms.v9i01.37953

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Section

Original Articles