Evaluation of Results of Various Operative Method In The Management of Tibal Plateau Fracture In Adults.

ABSTRACT

A series of 25 patients of tibial condylar fractures treated with various operative methods have been reviewed after surgery. The study has 6 Type I, 6 Type II, 1 Type III, 5 Type IV, 3 Type V and 4 Type VI fractures. 16 patients were treated with open reduction and internal fixation with buttress plate, 3 patients with closed reduction and internal fixation with cannulated screws, 5 patients with open reduction with cannulated screws, 1 patient with closed reduction internal fixation with cannulated screw with external fixator.Out of 25 patients, 19 had excellent results, 4 had good results and 2 patients had a fair result. Two patients had superficial wound infection, two patients had screw irritation on medial end and 1 patient had malreduction.The surgical goals in treating these fractures are anatomic reduction, stable fracture fixation and early post operative rehabilitation.