ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

SPECTRUM OF PRESENTATIONS AMONG PATIENTS OF TIBIAL PLATEAU - SCHATZKER TYPE IV FRACTURES

Najeeb ur Rehman, Hussain Bux Palh, Mansoor Ali Abbasi, Hosh Muhammad Laghari, Ishtiaque Ali Memon, Muhammad Muneeb

Objective: To identify the spectrum of presentations among patients of Tibial Plateau - Schatzker Type IV fractures. Methodology: This observational cross sectional study was conducted at Department of Orthopaedic Surgery & Traumatology, Liaquat University Hospital, Hyderabad / Jamshoro on 40 patients, selected via consecutive sampling. Patients, with age range 20 – 50 years with closed tibial plateau fracture of Schatzker Type IV, presented at the hospital setting within two weeks after injury were approached. Informed written consent was obtained prior to the enrollment. Semi-structured, interview based proforma was used to obtain detailed history and account of presenting problems. Findings of clinical examination and radiographs were also noted during primary assessment. Data was compiled and analyzed in SPSS-19. Results: The sample comprised of 70% of Male and 30% of Female patients. Mean age was 38.43±8.24 years. 35% of the patients had complaint of pain & swelling, 20% had deformity, 20 % were unable to stand, and 25% were not able to bearing weight on their legs. On examination, 62.5% patients had valgus positions while the rest had varus positions of Leg after fracture. Conclusion: Careful open surgical reduction and stable internal fixation of tibial plateau fractures showed excellent functional and radiologic results at follow-up. Keywords: Tibial Fracture; Schatzker Classification; Type IV fractures; Presentation of leg fractures.

FULL TEXT