Elevation Bone Grafting and Cancellous Screw Fixation for Type Ii Schatzker Tibial Plateau Fractures Volume 4 - Issue 1

S Vijaya Kumar*

• Department of orthopaedics, Consultant orthopaedic surgeon, India

Received: June 01, 2020;   Published: June 09, 2020

Corresponding author: S Vijay Kumar, Department of orthopaedics, Consultant orthopaedic surgeon, India

DOI: 10.32474/OSMOAJ.2020.04.000180

 

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Abstract

Introduction: Fracture of proximal tibia are especially challenging to surgeons because of their number, variety and complexity. The treatment of tibial plateau fractures is evolving. In this article we are reporting the results of type II Schatzker tibial fracture treated by elevation, bone grafting and cancellous screw fixation.

Aim of Study: To assess the functional outcome after elevation, bone grafting and cancellous screw fixation for type II Schatzker tibial plateau fractures.

Materials and Methods: 12 cases out of 18 cases of type II Schatzker tibial plateau fractures were treated with this method. The articular surface was elevated using cortical window and modified Steinman pin. Packing of medullary cavity with bone graft and cancellous screw fixation was done in all cases. Post operative all cases were immobilized in plaster slab for 4 weeks. Partial weight bearing started at 6 weeks and full weight bearing on fracture union.

Results: All cases were followed up for period of one and half to two and half years. The functional results were assessed by Lysholm knee scale. 83.3% had good results, the post operative complication noted were superficial infection in 1 case and screw tip irritation in 2 cases. Knee movements were restricted in 2 cases.

Discussion: Most of tibial plateau fractures are treated by surgical methods. The percutaneous and indirect methods of reduction of articular surface are used in type II Schatzker fracture. The C arm is used to assess the reduction. Review of literature shows most of the studies are not specific towards a particular type of fractures. The treatment of tibial plateau fractures is evolving and operative treatment of these fractures require detailed and uniform reporting.

Conclusion: Indirect reduction bone grafting and cancellous screw fixation for type II Schatzher tibial plateau fractures gives good functional results.

Abstract| Introduction| Aim of Study| Materials and Methods| Results| Discussion| Conclusion| References|