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KNEE
Year : 2002  |  Volume : 36  |  Issue : 4  |  Page : 246-250

Minimal invasive osteosynthesis: a biological approach in treatment of tibial plateau fractures


Department of Orthopaedic Surgery, Physical Medicine, Paraplegia, and Rehabilitation, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences Rohtak, India

Correspondence Address:
SS Sangwan
6J/14, Medical Enclave, PGIMS, Rohtak-124001 (Haryana)
India
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Source of Support: None, Conflict of Interest: None


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Twenty five patients with 26 tibial plateau fractures were treated with closed reduction by ligamentotaxis and minimal internal fixation with screws / wires, under C-arm image intensifier control. Patients were evaluated at a mean of 26 months after injury. Union was achieved in all the fractures with an average duration of 12.08 weeks. The average range of motion was 107.8. Partial weight bearing was allowed approximately at 8-12 weeks (average 8.92 weeks) and full weight bearing after complete union of fracture (average 13.12 weeks). Ninety two percent of the patients had satisfactory outcome using Rasmussen's criteria. We conclude that the technique is more biological, requires less surgical time and hospital stay and is devoid of major complications and leads to a better functional outcome.


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