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Study of various modalities of treatment of internal fixation of tibial condylar fracture-schatzkers type v and type VI

Aravind Subramanian, Amlan Dash, Konchada Srikant, Berikai Venkat Aditiya

Abstract: Fractures of the tibial plateau usually result from high energy trauma. Fractures of the tibial plateau change the knee kinematics, alter joint stability, and cause joint incongruity. Fractures range from simple lateral condyle fractures to severe comminuted metaphyseal fractures. Various surgical modalities like open reduction internal fixation with cannulated Screw fixation, Condylar plate with or without bone graft, AO/ASIF Buttress plate (T/L) with or without bone graft, Proximal tibial locking plate have been practiced. To study the functional outcomes of various modalities of treatment of internal fixation of tibial condylar fractures schatzkers type V and type V1. To find out the basis of selecting the mode of treatment of tibial condylar fractures to bring out the best functional results. 35 patients of age group 18-70 yrs who presented with X-ray based Schatzker Type V and VI proximal tibia fractures were selected for the study. All the patients underwent Open Reduction and Internal Fixation with locking compression plating. The functional outcomes were assessed using knee society score. Complications were observed and treated accordingly with an average follow-up of 12 months. It was observed that the mean duration of the union was 14-16 weeks. Most of the patients (19) showed excellent results with a good range of motion of 122⁰. The combination of dual approaches with dual fixation and with fixed angle locking plates is a safe and effective way to have direct reduction and satisfactory fixation for complex tibial plateau fractures.
Keywords: fractures / internal fixation / functional outcomes / treatment / tibial / locking plate / Open Reduction

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