Results of closed reduction and percutaneous screw fixation in tibia plateau fractures
Treść / Zawartość
Introduction. Tibial plateau fractures are common injuries that require anatomic reduction to obtain the best functional results. Advances in mechanization and the acceleration of travel has been accompanied by an increase in the number and severity of fractures, and those of the tibial plateau are not an exception. This fracture constitutes approximately 1% of all fractures. The primary goal in the management of proximal tibial articular fracture is a stable, congruous, pain-free, mobile joint. Objectives. To study the technique, results, and complications of percutaneous cancellous screw fixation for tibial plateau fractures. Materials and method. 22 patients treated with percutaneous screw fixation were followed-up for a period of 18 months and their functional outcome assessed according to the Modified Delamarter functional scoring system. Results. According to the Modified Delamarter functional scoring system, a 91% – excellent to satisfactory result was achieved, and 9% poor results due to non-union at the fracture site. Conclusions. Closed reduction and percutaneous screw fixation for tibial plateau fractures is minimally invasive. It reduces the length of hospital stay and costs, enables early mobilization with minimal instrumentation, and achieves satisfactory outcomes.