IJCRR - vol 06 issue 05, March, 2014
COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF TIBIAL CONDYLE FRACTURE OPERATIVE (LOCKING COMPRESSION PLATE) VS CONSERVATIVE METHOD
Author: Nitin Sanadhya
Aim: was to study the short term follow up and functional outcome of treatment of fracture tibial condyles by conservative and operative methods. And Comparison of result of conservative and operative treatment of the above.And to study the complications of conservative and operative methods. Methodology: The present study had been conducted in Department of Orthopedics Dhanwantri Hospital and research center, Jaipur during the period March 2009 to March 2011. This was a prospective study consist of 50 randomized selected cases of fracture of tibial condyles, treated by conservative and by operative method. Patients older than 15 years were included in this study. Results: In the present study 50 cases of fracture tibia condyle were included patient were divided in 2 groups on random basis managed conservatively and operatively. Majority of cases fall between age group 31-40 and 41-50 age group with average age of 43.86 years and 88% of affected persons were male and commonest mode of injury was RTA accounting for 48% of cases. Most common type of fractures in type C accounting for 40% of cases. Knee instability was found in 32% cases and can be managed conservatively. In the cases with high functional demands type A fracture and type B fractures operative method should be used and in bicondylar comminuted fractures of tibial condyles C3 both the modalities had poor results. Patient treated with operative methods had over all acceptable results in 91.6% as compare to conservative group having 61.5% acceptable results. Conclusion: from this study of 50 cases of tibial condyle fracture we can conclude that the tibial condyle fracture was most commonly caused by RTA and , due to high energy trauma bicondylar fracture were most common type. Type A has excellent results with both the modalities of treatment and type B, C1 and C2 fractures have good results with operative methods; while type C3 had poor results with either of modality.
Keywords: Functional Outcome, Tibial Condyle Fracture, Conservative Method
Nitin Sanadhya. COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF TIBIAL CONDYLE FRACTURE OPERATIVE (LOCKING COMPRESSION PLATE) VS CONSERVATIVE METHOD International Journal of Current Research and Review. vol 06 issue 05, March, 25-31
1. Blockker: A clinical and radiological study tibial condyle fracture:J of ortho trauma:1983, JBJS , 450-60.
2. Dendrinos GK.: Treatment of high energy tibial plateau fractures by the contured locking plates, journal of bone and joint surgery78 (5): 710-7,1996.
3. Duwelivos PJ: Treatment of tibial plateau fracture by limited internal fixation. Clinical orthopedics and related research (339): 47-57, 1997.
4. Fryjordet A. Jr.: Operative treament of tibial condyler fractures. Acta. Orthop Scand: 1967; 113-17.
5. Hohl M. and Luck J.V. Fractures of tibail condyle. A clinical and experimental study. J. Bones and joint Surg. 1967; 49 A: 1455.
6. O’Dongue: Ligament in tibial condyle fracture diagnisis and operative management:JBJS:124-130:1976
7. Porter B. : Crush fractures of the lateral tibial plateau J.Bone and Joint Surg. 1970;528:676.
8. Rombold C,: Depressed fractures of tibial plateau J.Bone and joint Surg. 1960;42A:783.
9. Rasmussen et al: Operative treatment and their outcome of tibial condyle fractures:J of ortho trauma 1973.
10. Rick D and Hole:Conservative treatment of tibial condyle fracture with functional cast brace. JBJS: 23: 132-139:1989.
11. Schatzker et al: Tibial condyle fractures classification and management :1979.JBJS