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ORIGINAL ARTICLE
Year : 2022  |  Volume : 10  |  Issue : 1  |  Page : 6-12

Functional outcome of proximal tibia fractures (Shatzker’s type V and VI) fixed with open reduction and internal fixation with dual plate osteosynthesis


1 Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India
2 Department of Plastic Surgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India
3 Department of Orthopaedic Surgery, Apollo Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Vishal Singh
Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Room No. G17, Old SR Hostel, Soura, Srinagar 190011, Jammu and Kashmir
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JOASP.JOASP_4_22

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INTRODUCTION: Tibial plateau fractures occur when the proximal tibia bears an excessive axial load and commonly occur in road Traffic accidents and sports injuries. It constitutes 1% of all orthopedic fractures and 8% of fractures in the elderly. The treatment of tibial plateau fractures is continuously evolving. Various techniques have emerged over the last few decades. Many people have studied these fractures and their management modalities and no single consensus has been reached regarding the superiority of any modality. MATERIALS AND METHODS: Following institutional scientific and ethical committee approval, this study was undertaken in the patients with proximal tibia fractures (Shatzker’s type V and VI) reporting to the Department of Orthopedics at Apollo Hospital Bannerghatta Road, Bengaluru during the study period. This was a prospective observational study. A total of 30 consecutive patients were followed up as per the inclusion criteria. They were followed up for 6 months. RESULTS: There were a total of 30 cases of proximal tibia Shatzker type V and VI fractures followed up during the study period. The demographics constituted 73.33% males and 26.67% females with an age range of 23–64 years and a mean age of 41.66 years. The most common mode of injury was road traffic accidents amounting to 73.33% of fractures. The majority of patients were in the age group less than 40 years and men were involved more than women. The functional outcome measured via the Modified Rasmussen Score showed good to excellent results in 93.33% of cases in the postop period at 6 months. CONCLUSION: This study shows fixation with dual anatomical locking plate and screws for proximal tibia Shatzker type V and VI fractures gives good to excellent functional outcomes in the early postop period.


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