Title: Clinical Outcomes of 20 Schatzker Type II Tibial Plateau Fractures After Open Reduction, Internal Fixation and Bone Grafting
Authors: Imtiyaz Hussain Dar, Mohammad Mussa, Sulaiman Sath, Munir Farooq, Ansarul Haq Lone
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.51
Abstract
Schatzker type II tibial plateau fractures are most common type of tibial plateau fractures. Type II tibial plateau fractures with articular surface depression of more than 3mm and condylar widening of more than 5mm should be managed operatively. Open reduction, elevation of articular surface with filling of resultant defect with bone graft followed by rigid internal fixation with proximal tibial locking compression plate gives best possible clinical results.
Keywords: type II tibial plateau fractures, bone graft, locking compression plate.
References
1. Rockwood and Green’s Fractures in adults7th edition; vol. 2: 1780-1831
2. Francesco Pogliacomi et al: combined arthroscopic and radioscopic management of tibial plateau fractures: report of 18 clinical cases. Acta Biomed 2005; 76; 107-114)
3. Ansarul Haq Lone et al: “Jail Technique for the Fixation of Unicondylar Tibial Plateau Fractures”. JMSCR Volume||2|| Issue||12||Page 3251-3257||December-2014
4. Schatzker J.et al. The tibial plateau fractures. Clin Orthop (1979)138:94-104
5. Marschall B et al Outcomes of Schatzker II Tibial Plateau Fracture Open Reduction Internal Fixation Using Structural Bone Allograft; J Orthop Trauma _ Volume 28, Number 2, February 2014
6. Mark L. Purnell, Andrew I. Larson, Bsme, Kent A: Diagnosis and surgical treatment of schatzker type IV variant biplanar medial tibial plateau fracture. Techniques in Knee Surgery 6(1):17–28, 2007
7. Rasmussen, P.S.: Tibial condylar fractures. J. Bone and Joint surg., 55A:1331, 1973
8. Mehmet Asik, Ozgur Cetik, Ufuk Talu, Yunus V. Sozen et al. Arthroscopy assisted operative management of tibial plateau fractures. Knee Surg, Sports Traumatol, Arthrosc (2002) 10:364–370.
9. Honkonen S et al. Indications for surgical treatment of tibial condylar fractures. Clin Orthop 1994; 302:199-205.
10. Cole, Peter A. et al: Treatment of proximal tibia fractures using the Less Invasive Stabilization System: surgical experience and early clinical results in 77 fractures. Journal of orthopaedic trauma: September 2004 - volume 18 - issue 8 - pp 528-535.
11. Jain D et al: Results of proximal tibial fractures managed with periarticular locking plates. IJRRMS vol-2 No.4 Oct-Dec 2012