Functional Outcome of Closed Reduction and Percutaneous Screw Fixation of Schatzker Type-II Fracture of Tibia

Muhammad  Yasir Bhatti; Farooq Ahmad Shah; Riaz Munawar

doi:10.70749/ijbr.v3i5.1149

Authors

Muhammad Yasir Bhatti Department of Orthopedic Surgery, Ghazi Khan Medical College & Allama Iqbal Teaching Hospital Dera Ghazi Khan, Pakistan.
Farooq Ahmad Shah Dpartment of Orthopedics Unit-I, Jinnah Hospital, Lahore, Pakistan.
Riaz Munawar Department of Orthopaedic Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i5.1149

Keywords:

Rasmussen Scoring System, knee joint, Schatzker classification, Tibial fracture

Abstract

Objective: To examine how close reduction and percutaneous screw fixation (PSF) work to treat Schatzker type-II tibia fractures. Scheme of study: A descriptive case series. Study site and Extent: The current investigation was carried out at Orthopedics Surgery Unit, Ghazi Khan medical college & Allama Iqbal Teaching Hospital Dera Ghazi Khan, Pakistan, during 2023-2024. Materials and Methods: We examined 60 individuals who had Schatzker type-II tibia fractures and were treated with closed reduction and PSF. Each patient was examined at the outpatient clinic. Three months later, patients were assessed using the Rasmussen criteria, and their scores were recorded. If the score was more than 28, the result was considered exceptional. Results: 60 patients were included with mean age of 41.77 ± 11.9 years. Mean Rasmussen score of 60 patients was 20.68 ± 4.721 ranged from 8 to 30. Functional outcome among 5 patients (8.3%) was excellent, among 27 (45%) was good & fair in same number and in only one patient (1.7%) it was poor. Malnutrition, smoking, age, and gender had no influence on functional outcome. Conclusion: Patients treated for Schatzker type II tibia fractures had an excellent functional outcome with closed reduction and PSF.

Downloads

Download data is not yet available.

References

Rudran B, Little C, Wiik A, Logishetty K. Tibial plateau fracture: anatomy, diagnosis and management. British Journal of Hospital Medicine. 2020 Oct 2;81(10):1-9.

https://doi.org/10.12968/hmed.2020.0339

Gahr P, Kopf S, Pauly S. Current concepts review. Management of proximal tibial fractures. Frontiers in surgery. 2023 Mar 23;10:1138274.

https://doi.org/10.3389/fsurg.2023.1138274

Abdelkareem O, Eldin Elazab H, Ali M. Functional outcomes of management of tibial plateau fractures (type II) by closed reduction and percutaneous screws. Egyptian Journal of Orthopedic Research. 2021 May 1;2(1):47-52.

https://doi.org/10.21608/ejor.2021.175574

Lim WB, Al-Dadah O. Conservative treatment of knee osteoarthritis: A review of the literature. World journal of orthopedics. 2022 Mar 18;13(3):212.

https://doi.org/10.5312/wjo.v13.i3.212

Andrianus J, Akbar MR, Yahya FA. The future of surgery: A case of Schatzker type II tibial plateau fracture operated with arthroscopic-assisted technique. International Journal of Surgery Case Reports. 2024 Sep 1;122:110107.

https://doi.org/10.1016/j.ijscr.2024.110107

Pun TB, Krishnamoorthy VP, Poonnoose PM, Oommen AT, Korula RJ. Outcome of Schatzker type V and VI tibial plateau fractures. Indian journal of orthopaedics. 2014 Feb;48:35-41.

https://doi.org/10.4103/0019-5413.125490

Cho KY, Oh HS, Yoo JH, Kim DH, Cho YJ, Kim KI. Treatment of Schatzker type V and VI tibial plateau fractures using a midline longitudinal incision and dual plating. Knee surgery & related research. 2013 May 29;25(2):77.

https://doi.org/10.5792/ksrr.2013.25.2.77

Rohra N, Suri HS, Gangrade K. Functional and radiological outcome of Schatzker type V and VI tibial plateau fracture treatment with dual plates with minimum 3 years follow-up: a prospective study. Journal of clinical and diagnostic research: JCDR. 2016 May 1;10(5):RC05.

https://doi.org/10.7860/jcdr/2016/18732.7855

Rasool A, Khan KR, Rashid M, Gillani HU, Sattar S, Lodhi TA. Functional Outcome of Closed Reduction and Percutaneous Screw Fixation for Management of Schatzker Type I Fracture of Tibia in a Tertiary Care Hospital. InMedical Forum Monthly 2023 Jul 30 (Vol. 34, No. 7).

Bormann M, Bitschi D, Neidlein C, Berthold DP, Jorgens M, Patzold R, Watrinet J, Böcker W, Holzapfel BM, Furmetz J. Mismatch between Clinical–Functional and Radiological Outcome in Tibial Plateau Fractures: A Retrospective Study. Journal of Clinical Medicine. 2023 Aug 27;12(17):5583.

https://doi.org/10.3390/jcm12175583

Martínez Ros J, Escudero Martínez A, Martínez Ros M, Molina González J, Carrillo García M, García Panos JP, Puertas García-Sandoval JP, Salcedo Cánovas C. Treatment of Schatzker Type VI Tibia Fractures Using Circular External Fixation: State of the Art, Surgical Technique and Results. Journal of Clinical Medicine. 2024 Feb 22;13(5):1249.

https://doi.org/10.3390/jcm13051249

Nightingale J. Open fractures of the tibia: a national, regional and individual perspective (Doctoral dissertation, University of Nottingham).2021.

McNamara IR, Smith TO, Shepherd KL, Clark AB, Nielsen DM, Donell S, Hing CB. Surgical fixation methods for tibial plateau fractures. Cochrane Data base of Systematic Reviews. 2015(9).

https://doi.org/10.1002/14651858.cd009679.pub2

Sament R, Mayanger JC, Tripathy SK, Sen RK. Closed reduction and percutaneous screw fixation for tibial plateau fractures. Journal of Orthopaedic Surgery. 2012 Apr;20(1):37-41.

https://doi.org/10.1177/230949901202000108

Muhammad A, Muhammad L, Rahat M, Zohaib K, Zohaib N, Nusrat R. Application of Percutaneous Screw Fixation and Closed Reduction for Tibial Plateau Fractures in Karachi, Pakistan. Journal of Pharmaceutical Research International. 2021; 25-30.

https://doi.org/10.9734/jpri/2021/v33i19a31322