Vol. 1, Issue 10, Part P (2015)

Material and method: Spinal or epidural anaesthesia was used. Patients are positioned supine on a radiolucent table. A tourniquet is applied to the proximal thigh and the limb prepared and draped in the standard sterile fashion. Surgical approach either medial or lateral, taken depending upon the fracture geometry and bilateral or unilateral plating. The knee joint is not opened or further exposed unless depressed fracture. Alternatively, two different exposures can be used to directly visualize the lateral joint. In one of them, the deep dissection is brought posteriorly along the tibial margin of the joint line, incising the coronary ligament to create a submeniscal arthrotomy. With a long enough inframeniscal incision, the meniscus can be retracted proximally to expose the tibial side of the lateral joint beneath the meniscus. Cross-joint distraction facilitates visualizing the joint through this submeniscal arthrotomy. This approach has been credited to the AO group.

Result: 30 cases of proximal tibial fractures were included which are treated either by D.C.P or L.C.P. This was a prospective study. In our series maximum age 65 years and minimum 21 years. Majority of the cases were seen in age group of 21- 30, 31-40, 41-50 years age group. For these data Χ2 (p value) is 4.087 (0.394) which was not statistically significant.

Conclusion: The terms of successful outcome include a good understanding of fractures biomechanics, proper patient selection, good preoperative planning, accurate instrumentation, good image intensifier and exactly performed osteosynthesis.