Abstract:
OBJECTIVE: To evaluate the result of open reduction and internal fixation in tibial plateau fractures in accordance with Rasmussen's criteria of knee pain, range of motion and stability. METHODS: Ninety two patients of tibial plateau fractures of either sex between 20-60 years of age participated in this study. We used open reduction and internal fixation in patients depending on Schatzker's tibial plateau fractures classification. This study was conducted during June 2014 to June 2015 at Dow University Hospital (DUH), Civil Hospital Karachi (CHK), Baqai Medical University Hospital (BMUH), Jinnah Post Graduate Medical Center (JPMC). Patients were followed for 6 months and outcome was compared with objective Rasmussen's criteria. RESULTS: The results were established upon the type of fractures. Majority of the satisfactory results were in type-I, II, III and IV; however type-V and VI showed grave and poorer results. Overall range of motion of knee joint was more promising in type I, II, III and IV as compared to Type-V and VI. The results also depended upon the type of fracture. CONCLUSION: Fractures of tibial plateau are affliction of a major weight bearing joint. In case the fracture is displaced with joint instability, treatment by open reduction and internal fixation with appropriate fixation devices is the treatment of choice. However, early knee range of motion exercises, quadriceps rehabilitation and delayed weight bearing are mandatory for a good final outcome.