TITLE:
Osteosynthesis Results of Tibia Plateau Fractures at the Yalgado Ouedraogo University Hospital Center
AUTHORS:
S. C. Da, M. N. Dabiré, A. S. Korsaga, J. I. A. Ouédraogo, H. Kafando, S. Tinto, B. Sagnon, M. Tall
KEYWORDS:
Fractures, Tibia Plateau, Osteosynthesis, Results
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.8 No.10,
October
12,
2018
ABSTRACT: The
sophistication of the implants allows the extension of the surgical indications
for tibia plateau fractures. These fractures, which are often comminuted, are
caused by a high velocity trauma, making treatment difficult. Objective: The
aim of this study was to determine the indications for osteosynthesis of tibia
plateau fractures in the orthopaedic-traumatology department of the Yalgado
Ouédraogo University Hospital, in order to evaluate the results for their
better management. Patients and Methods: it was a 5-year retrospective study of
the records of patients with tibia plateau fracture operated and hospitalized
in our department. The anatomical-clinical and therapeutic aspects
collected from the complete files were analysed. A cortico-cancellous graft was
performed in 67.4% of cases. The results were evaluated according to the criteria of Merle d’Aubigné and
Mazas [1]. Road
traffic accidents (97.4%) were the predominant etiology, involving mainly
motorcycles (97.8%). Results: Spino-tuberository and uni-tuberository fractures
were the most common. The average consolidation time was 12.5 weeks. One
urinary infection, 3 superficial
suppurations, 3 vicious calluses and 2 equipment dismantlings were the main
complications. Our results were excellent and good in 91.3% and fair in 6.5%.
Osteosynthesis of tibial plateau fractures provides excellent results and
remains the most appropriate procedure to treat these fractures. Conclusion: reduce
the operating time, modernize the technical platform, will allow stable
osteosynthesis and early functional rehabilitation to optimize their results.