COMPARISON OF SURGICAL TREATMENT RESULTS AND CLINICAL AND RADIOLOGICAL FINDINGS OF TIBIAL PLATEAU FRACTURES
Introduction: In this retrospective study, it was aimed to evaluate the correlation between operative treatment results and clinical and radiological findings of tibial plateau fractures.
Patients and Methods: Between 1996 and 2006, 33 knees were operated for tibia plateau fracture of 32 patients. 29 patients were male and 3 were female. Only 3 cases (9.99%) were open tibial plateau fractures. The mean age was 45 years. Fractures classified using the Schatzker classification were: 17 (52%) type 1, 12 (12%) type 2, 9 (27%) type 5 and 6 (9%) type 6. Patients following the period were at least 44 weeks and maximum 480 weeks (mean 60 weeks).
Results: The results of 33 patients were determined by the clinical and radiological system of Rasmussen. According to clinical findings, 17 cases were excellent, 9 were good, 6 were medium and 1 was poor. According to the radiological findings, 9 cases were excellent, 16 were good, 6 were medium and 2 were bad. The difference between clinical and radiological findings was analyzed with Pearson core analysis and statistically significant (p <0.005). Comparison was made according to the time between injury and operation and no statistically significant difference was found (p> 0.005). The analyzes of the grade of fracture and the degree of fracture were statistically significant (p <0.005). 42.4% of all patients had meniscus injury. Therefore, arthroscopy should be used with surgery.
Conclusion: Anatomic reduction, rigid fixation of the joint and early mobilization can reduce complications and improve the function of the knee joint in tibial plateau fractures.
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