Comparative Study Of Proximal Tibial Fractures Treated With Various Modalities
DOI:
https://doi.org/10.48047/etyh1327Keywords:
Proximal Tibial Fractures, Orif, Plating, External Fixation, Conservative Management.Abstract
Background: Proximal Tibial Fractures Are Complex Injuries That Often Pose Significant Challenges In Management Due To Their Involvement Of The Knee Joint And Surrounding Soft Tissues. Various Treatment Modalities, Including Conservative Management, Open Reduction, And Internal Fixation (Orif) With Plating, And External Fixation, Have Been Employed With Varying Outcomes.
Aim And Objectives: This Study Aims To Compare The Clinical And Functional Outcomes Of Proximal Tibial Fractures Treated Using Different Treatment Modalities, Evaluating Union Rates, Complication Rates, Range Of Motion, And Functional Scores.
Methods: A Prospective Comparative Study Was Conducted On Patients With Proximal Tibial Fractures Treated With Conservative Methods, Locking Compression Plating, Or External Fixation. Patients Were Followed Up For A Minimum Of Six Months. Outcomes Were Assessed Based On Radiological Union, Knee Range Of Motion, Complications, And Functional Outcome Scores Such As The Rasmussen Functional Grading System.
Results: Preliminary Findings Suggest That Orif With Locking Compression Plating Provides Better Anatomical Reduction And Early Mobilization, Resulting In Superior Functional Outcomes Compared To Conservative And External Fixation Methods. However, External Fixation Showed Advantages In High-Grade Open Fractures And Cases With Severe Soft Tissue Compromise.
Conclusion: The Choice Of Treatment Modality For Proximal Tibial Fractures Should Be Individualized Based On Fracture Pattern, Soft Tissue Condition, And Patient Factors. Locking Compression Plating Remains The Gold Standard For Displaced Fractures With Good Soft Tissue Conditions, While External Fixation Is A Valuable Alternative In Complex Open Fractures.
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