Functional Outcome of Intra–Articular Proximal Tibia Fractures (41C) Treated with Dual Plate Osteosynthesis

ABSTRACT

The fractures of proximal tibia particularly plateau fractures are more difficult to treat due to complexity of configuration and associated soft tissue injuries. AO 41C fractures are high energy fractures often accompanied by other injuries and complications, such as postoperative inflammation, wound problems and infections. Aim and objectives: functional outcome of intra-artcular proximal tibia fractures (41C) treated with dual plate osteosynthesis. Methods: The study will be conducted over a period of 19 months in department of Orthopaedics, BMCH.All cases attending OPD and emergency >18years of age with intra articular fracture proximal tibia (41C) will be assessed by clinically and radiologically .Clinically assessment will be done by Rasmussen’s score treated with open reduction internal fixation with dual plate osteosynthesis of intra-articular proximal tibia fractures , and those followed up at 2,6,10,14,20,24 weeks for any complications and morbidity. Results: The mean age among patients was 31.38+-11.37 years. The male female ratio was 2.33.Among 10 patients; 2 had Diabetes Meliteus while 1 had hypertension. Mean duration of surgery from time of injury was 7.89 ±3.98 days. Mean hospital stay in patients was 18.16 ±3.69 days. Mean time for union in patients was 12.18±4.83 weeks. Radiographic results Rasmussen anatomic outcome (immediately postoperatively) was excellent in 6, good in 3, and fair in 1 patients. Conclusion: Dual plate osteosynthesis is the best , effective and simple procedure in treatment of complex inta-articular proximal tibia fractures (41C).