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Conservative verses percutaneous screw fixation for tibial plateau fracture

Yaqoob-ur-Rehman, Sardar Sohail Afsar, Mohammad Ishaq, Faizul Aziz.

Abstract
Objective: To evaluate the results of conservative verses percutaneous screw fixation for tibial plateau fracture.
Methodology: This randomized control trial was conducted at Private medical centres of Peshawar, Pakistan from March 2014 to December 2017. Patients of tibial plateau fracture were allocated to group A and group B with lottery method. In group A, the screws were used where as group B was managed conservatively with plaster of Paris. Following discharge, all patients were advised follow up at 2 weeks, 1month, 3 months, 6 months and 12 months. Efficacy of either procedure was assessed by comparing the knee society score.
Results: Out of 48 patients, 37 were males and 11 females. Mean age in both groups was 29.87+5.73 years. Common cause of injury was road traffic injury (56.25%) followed by history of fall (25%). Time taken for union was 12.3 weeks in group A and 14.1 weeks in group B. Screw loosening was significant complication in group A (P=0.018) while ankle stiffness and delayed union were significant complications in group B (P=0.037 and 0.018, respectively). Hospital stay was significantly longer in group A (P=0.0389). There was no significant difference in range of motion in both groups (P=0.179).
Conclusion: Screw fixation was better option for Schatzker type I fractures than plaster of paris with fewer complications.

Key words: Schatzker type I fractures, proximal tibia, screw fixation.


 
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How to Cite this Article
Pubmed Style

, Afsar SS, Ishaq M, Aziz F. Conservative verses percutaneous screw fixation for tibial plateau fracture. RMJ. 2019; 44(1): 76-78.


Web Style

, Afsar SS, Ishaq M, Aziz F. Conservative verses percutaneous screw fixation for tibial plateau fracture. http://www.rmj.org.pk/?mno=290656 [Access: March 22, 2019].


AMA (American Medical Association) Style

, Afsar SS, Ishaq M, Aziz F. Conservative verses percutaneous screw fixation for tibial plateau fracture. RMJ. 2019; 44(1): 76-78.



Vancouver/ICMJE Style

, Afsar SS, Ishaq M, Aziz F. Conservative verses percutaneous screw fixation for tibial plateau fracture. RMJ. (2019), [cited March 22, 2019]; 44(1): 76-78.



Harvard Style

, Afsar, . S. S., Ishaq, . M. & Aziz, . F. (2019) Conservative verses percutaneous screw fixation for tibial plateau fracture. RMJ, 44 (1), 76-78.



Turabian Style

, Sardar Sohail Afsar, Mohammad Ishaq, and Faizul Aziz. 2019. Conservative verses percutaneous screw fixation for tibial plateau fracture. Rawal Medical Journal, 44 (1), 76-78.



Chicago Style

, Sardar Sohail Afsar, Mohammad Ishaq, and Faizul Aziz. "Conservative verses percutaneous screw fixation for tibial plateau fracture." Rawal Medical Journal 44 (2019), 76-78.



MLA (The Modern Language Association) Style

, Sardar Sohail Afsar, Mohammad Ishaq, and Faizul Aziz. "Conservative verses percutaneous screw fixation for tibial plateau fracture." Rawal Medical Journal 44.1 (2019), 76-78. Print.



APA (American Psychological Association) Style

, Afsar, . S. S., Ishaq, . M. & Aziz, . F. (2019) Conservative verses percutaneous screw fixation for tibial plateau fracture. Rawal Medical Journal, 44 (1), 76-78.








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