Low and high-energy tibial plateau fractures usually result from axial loading in combination with varus/valgus stress forces, present a variety of soft tissue and bony injuries that can produce permanent disabilities. The present study was conducted to assess outcome of lateral locking plate in management of tibial plateau fractures.
Materials & Methods: This study was conducted in the department of orthopaedics in 2014. It consisted of 82 patients having tibial fractures. Patient history, local and general examination was performed in patients. X-ray tibia was done and CT scan was also performed wherever necessary. Fractures of type I, II with <5mm of articular depression, V and VI were reduced by ligamentotaxis and manipulation on traction table and proceeded with MIPPO. Fractures of type II with >5mm of articular depression, type III and type IV were directly taken for open reduction.
Results: Out of 82 patients, 42 were males and 40 were females. The difference was non – significant (P – 1). Age group 21-30 years had 10 males and 8 females, age group 31-40 years had 26 males and 22 females, age group 41-50 years had 6 males and 10 females. The difference was non – significant (P- 0.1). 66 patients had no complication. 3 had knee joint deformity, 2 had implant failure, 1 had varus deformity, 4 had superficial infection, 3 had deep infection, 3 had limping. The difference was non - significant (P> 0.05). 42 had no particular depression, 40 had <2mm, 2 had 2-5mm and 2 had >5mm of articular depression. The difference was non – significant (P> 0.05).
Conclusion: Displaced fractures such as Schatzker Type I are well managed with closed reduction and internal fixation with MIPPO technique which gives excellent results. ORIF can be done in type II, type III, and type IV fractures.