Radiological and Functional Assessment of Tibial Plateau Fractures Managed with Locking Compression Plates: A...

Area of Science:

• Orthopedic surgery
• Traumatology
• Biomedical engineering

Background:

• Tibial plateau fractures are complex intra-articular injuries impacting proximal tibia function.
• Locking compression plates (LCP) offer biomechanical advantages for fixation, especially in comminuted and osteoporotic fractures.

Purpose of the Study:

• To evaluate the efficacy of LCP fixation for tibial plateau fractures.
• To assess functional and radiological outcomes and identify associated complications.

Main Methods:

• Prospective study of 35 adult patients with tibial plateau fractures treated with LCP internal fixation.
• Fracture classification using Schatzker system; clinical and radiological follow-up for ≥6 months.
• Outcomes assessed via modified Rasmussen criteria (MRC) and Rasmussen radiological criteria (RRC).

Main Results:

• Road traffic accidents were the primary cause, with Schatzker type II being most common.
• 51.43% excellent functional and 45.71% excellent radiological outcomes at follow-up.
• Mean union time was 14.38 weeks; common complications included knee stiffness and infection.

Conclusions:

• LCP fixation provides reliable union and satisfactory outcomes for tibial plateau fractures.
• Early mobilization and meticulous management of high-energy injuries are crucial for optimal results.