FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM

medicine/orthopedics

FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM HOM BAHADUR GURUNG1, DIRGARAJ RC2, RISHI BISTA3, BINIT DHAKAL 4, KATHIT RAJ GHIMIRE 5 BACKGROUND Tibial plateau fractures are one of the commonest intra articular fractures. Results from indirect coronal or direct axial compressive forces. Among Tibial plateau fractures, Schatzker type V and VI tibial fractures are complex injuries, usually treated with open reduction and internal fixation (ORIF) using bicolumnar plates. AIM: This study was done to determine functional outcome of Schatzker V and VI tibial plateau fractures treated with bicolumnar plates with a regular follow-up of 6 months. MATERIALS AND METHODS: Total 34 cases of tibial plateau fracture type V and VI treated with bicolumnar plating via 2 incisions were studied from January 2021 to December 2021 in National Trauma Center, National Academy of Medical Sciences, KATHMANDU. The follow up duration ranged from One week to 6 months. The patients were operated through an anterolateral approach for lateral plate and a medial column plate was put through a minimally invasive medial approach or an open posteromedial approach. RESULTS: Total 34 patients were evaluated postoperatively thoroughly for functional outcome by Modified clinical Rasmussen Assessment criteria which showed 3 patients (8.82%) had excellent,25 patients (73.52%) had good,4 patients (11.73%) had fair and 2 patients (5.88%) had poor outcome CONCLUSION: We concluded open reduction and internal fixation of high-energy tibial plateau fractures with bicolumnar plates have good functional outcome with minimal soft tissue complications. Thus, a minimally invasive approach should be used which helps in preventing soft tissue problems and helps in early wound healing. Fixation done by Dual plating is important for early mobilization of knee joint. Early mobilization leads to better range of movements and thereby better functional outcome.

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