Results of Single Lateral Locked Plate in Complex Schatzker Type V and VI Tibial Plateau Fractures Using Minimally Invasive Fixation Technique-Surgical Experience in 46 Fractures

Background:Bicondylar tibia plateau fractures are difficult to manage due to complexities of comminuation of articular surfaces, extensive soft tissue injuries, infection and risk of compartment syndrome associated with it. Various modalities including cast, traction or open reduction and internal fixation using single to dual plate fixation technique are now days used. We report our results of single lateral locked plate in management of these complex Schatzker V and VI tibial plateau fracture using minimally invasive technique. Material And Methods : A prospective study was conducted to assess the result of 49 cases with Schatzkar type V and VI tibial plateau fracture compounding up to Gastilo-anderson type III A treated by single lateral locked plate by minimally invasive technique during period April 2010 to January 2015 at a tertiary level medical institute. Follow up was range from 8-24 months. Functional and radiological assessment done according to Rasmussen’s knee score. Result: Out of 49 cases, 3 cases were lost during follow up. Mean age of patient was 36.35 years (range 20-70 years). All the fractures united in our study in 16.93 weeks (range 18-23 weeks) with malunion observed in 4 cases. Range of movement at time of union was 116.760 (range 80-1300). Infection occurred in 6 cases (13.04%) and in 1 case implant removal was required. According to Rasmussen knee scoring 84.78% had excellent, 13.04% good clinical out come. Conclusion: Excellent clinico-radiological outcome can be achieved with single lateral locked plate in complex tibial Schatzker type V & VI fractures using minimal invasive techniques by preventing further soft tissue injuries and envelope.