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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Functional and Radiological Outcome of Schatzker type V and VI Tibial Plateau Fracture Treatment with Dual Plates with Minimum 3 years follow-up: A Prospective Study
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Functional and Radiological Outcome of Schatzker type V and VI Tibial Plateau Fracture Treatment with Dual Plates with Minimum 3 years follow-up: A Prospective Study

机译：至少3年随访的双板Schatzker V型和VI型胫骨平台骨折治疗的功能和放射学结果：一项前瞻性研究

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Introduction: High energy intra-articular fractures involving the tibial plateau causes various problems related to management like wound dehiscence, severe comminution leading to malalignment and delayed complications like varus collapse, implant failure and arthritis of knee joint. Aim: This study was done to determine functional, radiological outcome and the complications of Schatzker V and VI tibial plateau fractures treated with bipillar plating with dual plates with a regular follow-up of atleast 3 years. Materials and Methods: Total 34 cases of tibial plateau fracture type V and VI treated with dual plating were studied from January 2011 to December 2013 in KIMS Hospital were followed for minimum of 3 years. The patients were operated through an anterolateral approach for lateral plate and a medial column plate was put through a minimally invasive medial approach or an open posteromedial approach. Results: Total 34 patients were evaluated postoperatively thoroughly for functional outcome using The Knee Society Score and radiological outcomes by Modified Rasmussen Assessment criteria which showed 29 patients (85.29%) had excellent and 5 patients (14.71%) had good objective knee society score. 24 patients (70.59%) had excellent, 8 patients (23.53%) had good and 1patient (2.94%) were each of poor and fair functional knee society score. Eleven patients (32.35%) had excellent, 21patients (61.76%) had good and 2 patients (5.88%) had fair radiological outcome. Conclusion: We conclude that open reduction and internal fixation of high-energy tibial plateau fractures with dual plates via 2 incisions gives excellent to good functional outcome with minimal soft tissue complications. Thus, a minimally invasive approach should be used which helps in preventing soft tissue problems and helps in early wound healing. Fixation done by bipillar plating is important for early mobilization of knee joint. Early mobilization leads to better range of movements and thereby better functional outcome.
机译：简介：涉及胫骨平台的高能关节内骨折引起各种与治疗相关的问题，例如伤口裂开，严重粉碎导致畸形和延迟并发症，如内翻塌陷，植入物衰竭和膝关节关节炎。目的：进行这项研究来确定功能性，放射学结果以及用双板双钢板固定治疗的Schatzker V和VI胫骨平台骨折的并发症，并至少定期随访3年。材料与方法：2011年1月至2013年12月，在KIMS医院对34例经双钢板治疗的胫骨平台骨折V型和VI型患者进行了至少3年的随访。患者通过前外侧入路进行外侧板手术，内侧柱状板通过微创内侧入路或开放式后内侧入路进行手术。结果：共有34例患者接受了膝关节社会功能评分及术后改良Rasmussen评估标准的放射学评估，结果显示29例（85.29％）优良，5例患者（14.71％）的客观膝关节社会评分良好。膝关节功能评分差和正常的患者有24例（70.59％）有良好，8例（23.53％）有良好，1例（2.94％）有良好。 11例（32.35％）表现良好，21例（61.76％）表现良好，2例（5.88％）表现良好。结论：我们得出的结论是，通过2个切口对双能量钢板进行高能量胫骨平台骨折的切开复位内固定术具有良好的功能效果，同时软组织并发症最少。因此，应该使用微创方法，这有助于防止软组织问题并有助于伤口的早期愈合。双柱钢板固定对膝关节的早期活动很重要。早期动员会导致更好的运动范围，从而改善机能。

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