Home > Journals > Journal of Orthopedic Education

Journal of Orthopedic Education

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Functional Outcome of Prone and Direct Posterior Approach for Management of Posterior Column Tibial Plateau Fracture

Shyoji Lal Sharma , Jalaj Meena1 , Shyoji Lal Sharma2 , GS Chouhan3

Author Information

Licence:



Journal of Orthopedic Education 5(2):p 86-96, May-August 2019. | DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.5219.3

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Introduction: Due to its special location, it is difficult to perform open reduction and internal fixation, if early effective treatment is not provided for patients, chronic collapse often occurs, which leads to significant limited range of knee flexion and extension. It is pivotal to find an approach with more accurate exposure of fracture and more operable fixation to obtain better outcome of treatment for PTPF. Aim: to evaluate the outcome of prone and direct posterior approach for management of posterior column tibial plateau fracture in terms of clinic radiological and functional outcome. Material and methods: Prospective hospital based descriptive study conducted in Department of Orthopedics in teaching hospitals attached to SMS Medical College and Hospital from January 2017 to May 2018, on 36 subjects. Patients were seen for clinical and radiological assessment at 15 days, 3rd month and 6th months interval and outcome analysed by Lysholm score, Tegner score and RUST criteria for radiological union. Observation: There was a significant increase in the scores 1.17 ± .97; p <0.001S in Tegner score between 3 month and 15 days. Significant improvement (6.00 ± .93; p <0.001S) was observed in score on applying paired-samples t- to compare Lysholm Score between 6 month and 15 daysThere was a significant increase in the RUST criteria between 6 month and 3 month scores 3.47 ± 1.44; p < 0.001S. These results suggest that operation really effective for improvement of the disease conditions. Conclusion: Using the prone posterior approach with a reverse L-shaped incision to manage fragments of the posterior column in tibial condylar fractures can achieve anatomic reduction and rigid fixation, resulting in a good functional outcome by buttressing the posteromedial fragment by plate and buttress effect preventing descent of the fragment under load than other modes of fixation.

Keywords: Prone posterior approach; Tibial condylar fractures; Lysholm Score; RUST criteria

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.5219.3

Keywords


Article Level Metrics

Last Updated

Sunday 27 September 2026, 13:42:31 (IST)

2358

Accesses

8
304
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share