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| Kavin Khatri,Vijay Sharma,Darsh Goyal,Kamran Farooque.[J].Chin J Traumatol,2016,19(6):342-347. [doi] |
| Complications in the management of closed high-energy proximal tibial plateaufractures |
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| DOI： |
| KeyWord: Tibial plateau fracturesComplicationSoft tissue damage |
| FundProject: |
| Author Name | Affiliation | | Kavin Khatri | Department of Orthopaedics, GGS Medical College and Hospital, Punjab, India | | Vijay Sharma | Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India | | Darsh Goyal | Sports Injury Centre, Safdarjung Hospital, New Delhi, India | | Kamran Farooque | Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India |
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| Abstract: |
| Purpose: To report complications in the management of complex closed proximal tibial fractures.
Method: A retrospective study was conducted to analyze the infectious and noninfectious complications
encountered in the management of high-energy Schatzker type V and VI tibial plateau fractures. All
patients were treated at the level 1 trauma centre between January 2011 and March 2014. Sixty two
patients were included in the study. The mean patient age was (43.16 ± 11.59) years with 60 males and 2 females. Infectious complications like superficial and deep infection, wound dehiscence, malalignment in the immediate postoperative period and in follow-up period were noted.
Results: The overall complication rate was 30.65% (19 out of 62). Infectious complications were noted in 20.97% cases (13/62). In majority of the cases (8/13), superficial infection was seen which managed with regular dressing and antibiotic administration. The patients (5/13) who had developed deep-seated infection were subjected to repeated debridements, flap coverage, implant removal or amputation depending upon the host response. Thirteen patients had experienced noninfectious complications. Hardware related complications were noticed in six patients and four among them received a secondary procedure. Malalignment was observed in seven patients but only single patient underwent subsequent operative intervention.
Conclusion: Proximal tibial plateau fractures especially Shatzker type V and VI are associated with
extensive soft tissue damage even in closed injuries. The complications encountered in the management
of these fractures can be minimized with appropriate patient selection and minimal soft tissue
dissection. |
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