Evaluation of the Effectiveness of Different Types of Fixation for Tibial Plateau Fractures

Authors

  • Mukesh Kumar
  • Priyank Deepak
  • Rajendra Prasad
  • Om Prakash Kumar
  • Priyanshu Bharti

Keywords:

Tibial plateau fractures, fixation techniques, plate fixation, screw fixation, external fixation, hybrid fixation, functional outcomes, orthopedic surgery

Abstract

Background: Fixation techniques are necessary for the optimum healing and functional recovery following a tibial plateau fracture. Surgeons may use plate, screw, external, or a mix of these and other treatments to fix the fracture, depending on its severity and other patient-specific factors. This study evaluates multiple fixation techniques for functional outcomes, complication rates, and recovery time.

Methods: This prospective observational study at Nalanda Medical College and Hospital in Patna included 100 tibial plateau fracture patients from July 2023 to December 2024. We categorised patients by fixation type using Schatzker. We monitored range of motion, functional scores (Rasmussen and Lysholm), time to union, and complications (infection, implant failure, non-union) throughout six months. We performed descriptive and comparative statistical analyses with a significance level of p < 0.05.

Results: Plate fixation had the best results with an average union time of 14.2 weeks, little complications, and good functional recovery. Screw fixation is appropriate for minor fractures, providing maximal range of motion with little issues. External fixation caused more complications, longer recovery times, and worse functional outcomes (33.3% infection, 20% implant failure). Hybrid fixation stabilised complex fractures but was riskier than internal fixing.

Conclusion: Plate fixation is stable and effective for most tibial plateau fractures, while screw fixation is preferable for smaller fractures. External fixation is unpopular due to problems; hybrid fixation may be appropriate for severe fractures. We need less intrusive procedures and longer follow-up to improve results

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Published

2025-05-02

How to Cite

1.
Kumar M, Deepak P, Prasad R, Kumar OP, Bharti P. Evaluation of the Effectiveness of Different Types of Fixation for Tibial Plateau Fractures. J Neonatal Surg [Internet]. 2025May2 [cited 2025Sep.21];14(20S):346-51. Available from: https://jneonatalsurg.com/index.php/jns/article/view/5020

Issue

Vol. 14 No. 20S (2025): Journal of Neonatal Surgery

Section

Original Article

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