Evaluation and Outcome of Surgical Management of Plateau Fracture- A Study in Shaheed Monsur Ali Medical College, Dhaka, Bangladesh
Abstract
Introduction: Orthopaedic tibial plateau fractures are common. These fractures affect the knee's articular tibia. Plateau fractures may be simple or complicated. Skeletal and ligamentous injuries determine stability.
Methodology: The Department of Orthopaedic and Trauma Surgery at Shaheed Monsur Ali Medical College and Hospital in Dhaka, Bangladesh, performed this prospective study from June to December 2022. This study operated on 22 tibial plateau fracture patients. These individuals have significant injuries from motor vehicle accidents, falls, attacks, etc. These patients were assessed pre- and post-surgery. Schatzker, Hohl-Moore, and AO categorised these examples.
Results: 22 individuals had tibial plateau fractures. Patients averaged 45,4 years old. RTA damaged most patients. Schatzker's classifications called for CRIF, percutaneously cannulated cancellous screws, ORIF with buttress plate with or without bone transplantation, and external fixation for the identified fractures. Post-surgery range of motion started early. Weightless for 6-8 weeks. Weight bearing is delayed until fracture union or 12 weeks. POP casts immobilise unstable fractures for 3-6 weeks. After union, locomotion, weight bearing, and knee range of motion were excellent to very good. Fractures healed as expected. The series showed no non-union. Union averaged 14 weeks (10-22 weeks). Due to the severity of the injuries and infections, ten of the twenty-two surgical cases had excellent outcomes, whereas one had a poor result.
Conclusion: As car accidents grow, so do high-velocity tibial plateau fractures. In depressed and displaced fractures, surgery may stabilise the knee.
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