Functional Outcomes in Dual Plating of Schatzker 5 and 6 Tibial Plateau Fractures

Authors

  • Asad Moiz Hussain Department of Orthopedic Surgery, Combined Military Hospital Rawalpindi, Pakistan
  • Muhammad Shoaib Department of Orthopedic Surgery, Combined Military Hospital Rawalpindi, Pakistan
  • Najeebullah Department of Orthopedic Surgery, Combined Military Hospital Rawalpindi, Pakistan
  • Bilal Ahmad Qureshi Department of Orthopedic Surgery, Combined Military Hospital Rawalpindi, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v2i02.197

Keywords:

Fractures of Tibial Plateau, Use of Two (2) Plates, Schatzker Classification Type V, Schatzker Classification Type VI, Functional Results, Knee Society Score, Operation

Abstract

Objectives

The present research plan is to assess the functional and radiological outcomes of dual plating in the management of Schatzker type V and VI tibial plateau fractures and compare the technique's efficacy in promoting fracture union and functional recovery of the affected knee joint.

Materials and Methods

A comparative prospective controlled clinical study was undertaken in Schatzker type V and VI fractures patients. Both techniques incorporated dual plating, and the results were measured using the KSS and radiographic analysis. Forty consecutive male patients who underwent surgery for hip fracture within the 12 months of the study provided functional recovery assessments before and after surgery.

Results

According to the results, the KSS was raised from the preoperative 45 to 85 at the 12-month follow-up. The union rate was 98 %, and the rate of complications was low, with only 8% developing superficial infections. The average range of motion achieved post-operatively of knee flexion was 125 degrees, which proved that adequate restoration of the range of motion was done.

Conclusion

The study shows that dual plating is very effective for Schatzker type V and VI tibial plateau fractures. It results in increased union rates, better functional results, and a beneficial risk profile, which makes it advisable in healthcare management

Downloads

Download data is not yet available.

References

- Raj, M., Gill, S.P.S., Rajput, A., Singh, K.S. and Verma, K.S., 2021. Outcome analysis of dual plating in management of unstable bicondylar tibial plateau fracture-a prospective study. Malaysian Orthopaedic Journal, 15(3), p.29.

- Parikh, Y., Patil, T., Kulkarni, S., Lambat, N., Jadhav, S. and Dattu, V., 2020. Functional outcome of closed complex tibial plateau fractures treated using dual plating. International Journal of Orthopaedics, 6(4), pp.943-8.

- Amin, T.K., Patel, I., Jangad, A.H., Shah, H., Vyas, R.P., Patel, N.V. and Modi, D.R., 2023. Evaluation of Radiological and Functional Outcome of Intra-articular Proximal Tibia Plateau Fracture Treated with Plating. Malaysian Orthopaedic Journal, 17(1), p.90.

- Vasiliadis, A.V., Poutoglidou, F., Metaxiotis, D. and Mpeletsiotis, A., 2022. Mid-Term Radiological and Functional Outcomes of Bicondylar Tibial Plateau Fractures Managed with Open Reduction and Internal Fixation Using Dual Plates. Sultan Qaboos University Medical Journal, 22(1), p.51.

- Rijal, S., Sitaula, J., Basel, S., Sharma, B. D., Dawadi, T. P., & Lohani, S. (2021). Functional and radiological outcome of tibial plateau schatzker type v and type vi treated with dual plating. Journal of Chitwan Medical College, 11(4), 131-134.

- Bawiskar, D., Dhote, S., & Phansopkar, P. (2020). Early physical rehabilitation post-surgery in a complex type 5 Schatzker Tibial plateau fracture improves functional outcomes: A case report. Medical Science, 24(104), 2675-2682.

- Sharma, S., Gupta, P., Kothiyal, P. and Vij, K., 2023. A prospective study on clinical, functional and radiological outcome of proximal tibia fractures treated with internal fixation by plating. International Journal of Orthopaedics, 9(1), pp.319-323.

- Joginath, B.B. and Reddy, K.J., 2021. Comparative study of functional outcome of unilateral locking plate and dual plating in the treatment of bicondylar proximal tibia fractures. International Journal of Orthopaedics, 7(3), pp.189-193.

- Ravinathan, O. and Vasantharaman, R., 2021. Analysis of functional outcome of complex tibial plateau fractures (Schatzker Type 5 and Type 6) treated with hybrid external fixators. International Journal of Orthopaedics, 7(1), pp.536-539.

- Dekhne, M.S., Stenquist, D., Suneja, N., Weaver, M.J., Petersen, M.M., Odgaard, A. and von Keudell, A., 2022. Outcomes after ORIF of Bicondylar Schatzker VI (AO type C) Tibial Plateau Fractures in an Elderly Population. Injury, 53(6), pp.2226-2232.

- Raj, M., Singh, S.K., Rajput, A.K., Gill, S.P., Verma, S.K. and Sonarkar, S.S., 2023. The Comparative Analysis of Single Plating Versus Double Plating in the Treatment of Unstable Bicondylar Proximal Tibial Plateau Fractures. Cureus, 15(10).

- Kumar, V., Singhroha, M., Arora, K., Sahu, A., Beniwal, R. and Kundu, A., 2021. A clinico-radiological study of bicondylar tibial plateau fractures managed with dual locking plates. Journal of Clinical Orthopaedics and Trauma, 21, p.101563.

- Gencer, B., Doğan, Ö., Çalışkan, E., İğdir, V. and Biçimoğlu, A., 2022. Single versus double plating for bicondylar tibia plateau fractures: Comparison of range of motion, muscle strength, clinical outcomes and accelerometer-measured physical activity levels. The Knee, 34, pp.187-194.

- Pandey, S. and Bidary, S., 2022. Functional and Radiological Outcome of Schatzker Type V and VI Tibial Plateau Fracture Treated with Closed Reduction and Ilizarov Fixation with or without Minimally Invasive Screw Supplementation. Journal of College of Medical Sciences-Nepal, 18(3), pp.244-253.

- Nazibullah, M., Islam, M.T., Talukder, T.K. and Islam, A.S., 2021. Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital. American Journal of Biomedical and Life Sciences, 9(1), pp.53-57.

- Ghori, F.S., Ahmed, K. and Khan, K.M., 2023. Plating versus Ilizarov Technique for Complex Tibial Plateau Fractures: A Comparative Study on Functional Outcome and Patient Satisfaction. Allied Medical Research Journal, 1(1), pp.70-83.

Downloads

Published

2024-11-16

How to Cite

Functional Outcomes in Dual Plating of Schatzker 5 and 6 Tibial Plateau Fractures. (2024). Indus Journal of Bioscience Research, 2(02), 437-443. https://doi.org/10.70749/ijbr.v2i02.197