Evaluation and Outcome of Surgical Management of Plateau Fracture- A Study in Shaheed Monsur Ali Medical College, Dhaka, Bangladesh

  • Nabil Zunayed Sidny Assistant Professor, Dept. of Orthopaedic and Trauma Surgery, Shaheed Monsur Ali Medical College, Dhaka, Bangladesh
  • Kazi Shahadat Hossain Associate Professor and Head, Dept. of Orthopaedic and Trauma Surgery, Mainamoti Medical College, Cumilla, Bangladesh
  • Arefin Iftekhar Ahmed Assistant Surgeon (Emergency), National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
  • Mohammed Hafijur Rahman Sarker Junior Consultant (C.C.), Orthopaedic Surgery, Upazilla Health Complex, Charfession, Bhola, Bangladesh
  • Md. Sariful Hasan Assistant Professor, Dept. of Orthopaedic Surgery, East West Medical College, Dhaka, Bangladesh
  • Aziza Md. Abdur Rahman Assistant Registrar, Dept. of Orthopaedic and Trauma Surgery, Uttara Adhunik Medical College Hospital, Dhaka, Bangladesh
  • Shoaib Talukder Registrar, Dept. of Orthopaedic and Trauma Surgery, Shaheed Monsur Ali Medical College and Hospital, Dhaka, Bangladesh
  • Rajib Uddin Assistant Register, Dept. of Orthopaedic and Trauma Surgery, Shaheed Monsur Ali Medical College and Hospital Dhaka, Bangladesh
Keywords: Fracture, Tibial plateau, Buttress plate, Bone graft

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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Author Biographies

Nabil Zunayed Sidny, Assistant Professor, Dept. of Orthopaedic and Trauma Surgery, Shaheed Monsur Ali Medical College, Dhaka, Bangladesh

 

 

Kazi Shahadat Hossain, Associate Professor and Head, Dept. of Orthopaedic and Trauma Surgery, Mainamoti Medical College, Cumilla, Bangladesh

 

 

Arefin Iftekhar Ahmed, Assistant Surgeon (Emergency), National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh

 

 

Mohammed Hafijur Rahman Sarker, Junior Consultant (C.C.), Orthopaedic Surgery, Upazilla Health Complex, Charfession, Bhola, Bangladesh

 

 

Md. Sariful Hasan, Assistant Professor, Dept. of Orthopaedic Surgery, East West Medical College, Dhaka, Bangladesh

 

 

Aziza Md. Abdur Rahman, Assistant Registrar, Dept. of Orthopaedic and Trauma Surgery, Uttara Adhunik Medical College Hospital, Dhaka, Bangladesh

 

 

Shoaib Talukder, Registrar, Dept. of Orthopaedic and Trauma Surgery, Shaheed Monsur Ali Medical College and Hospital, Dhaka, Bangladesh

 

 

Rajib Uddin, Assistant Register, Dept. of Orthopaedic and Trauma Surgery, Shaheed Monsur Ali Medical College and Hospital Dhaka, Bangladesh

 

 

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CITATION
DOI: 10.26838/MEDRECH.2023.10.3.695
Published: 2023-05-03
How to Cite
1.
Sidny NZ, Hossain KS, Ahmed AI, Sarker MHR, Hasan MS, Rahman AMA, Talukder S, Uddin R. Evaluation and Outcome of Surgical Management of Plateau Fracture- A Study in Shaheed Monsur Ali Medical College, Dhaka, Bangladesh. Med. res. chronicles [Internet]. 2023May3 [cited 2024Jun.21];10(3):206-12. Available from: https://medrech.com/index.php/medrech/article/view/677
Section
Original Research Article