175574

FUNCTIONAL OUTCOMES OF MANAGEMENT OF TIBIAL PLATEAU FRACTURES (TYPE II) BY CLOSED REDUCTION AND PERCUTANEOUS SCREWS

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

-

Abstract

To evaluate the outcomes of closed reduction and percutaneous screw fixation for tibial plateau fractures (Type II). 9 men and 3 women aged 21 to 64 (mean, 38.1) years underwent closed reduction and percutaneous screw fixation for closed tibial plateau fractures (type II) according to the Schatzker classification. Closed reduction was achieved using manual ligamentotaxis with traction in extension under image intensifier control. Reduction was fixed percutaneously with cancellous screws (6.5 mm) and washers. Functional outcome (pain, walking capacity, extension lag, range of motion, stability and return to daily activity) was evaluated using the Modified Hospital for Special Surgery Score. A total score of 55 to 60 was considered as excellent, 45 to 54 as good, 35 to 44 as fair, and <35 as poor. Patients were followed up for a mean of 8 (range, 6-12) months. The mean length of hospital stay was 2 (range, 1-3) days. All the fractures united radiographically after a mean of 3 (range, 2.5-3.5) months. The score was excellent in 4 patients, good in 6 patients, and fair in 2 patients. The mean Modified-HSS score was 53.3. No patient had infection or wound dehiscence. Closed reduction and percutaneous screw fixation for tibial plateau fractures (type II) is a minimally invasive method of fixation that reduces the length of hospital stay and costs, enables early mobilization with minimal instrumentation, and achieves satisfactory outcomes.

DOI

10.21608/ejor.2021.175574

Keywords

Tibial Plateau, Knee fractures, Minimally invasive fixation, Percutaneous screws

Authors

First Name

Omar

Last Name

Abdelkareem

MiddleName

-

Affiliation

Orthopaedic dept, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Hussam

Last Name

Eldin Elazab

MiddleName

-

Affiliation

Orthopaedic dept, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Ali

MiddleName

-

Affiliation

Orthopaedic dept, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

mohamedaliortho82@gmail.com

City

-

Orcid

-

Volume

2

Article Issue

1

Related Issue

25450

Issue Date

2021-05-01

Receive Date

2021-02-22

Publish Date

2021-05-01

Page Start

47

Page End

52

Print ISSN

2682-4744

Online ISSN

2314-6710

Link

https://ejor.journals.ekb.eg/article_175574.html

Detail API

https://ejor.journals.ekb.eg/service?article_code=175574

Order

8

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,828

Publication Type

Journal

Publication Title

Egyptian Journal of Orthopedic Research

Publication Link

https://ejor.journals.ekb.eg/

MainTitle

FUNCTIONAL OUTCOMES OF MANAGEMENT OF TIBIAL PLATEAU FRACTURES (TYPE II) BY CLOSED REDUCTION AND PERCUTANEOUS SCREWS

Details

Type

Article

Created At

23 Jan 2023