EPIDEMIOLOGICAL FEATURES AND OSTEOSYNTHESIS METHODS: A CLINICAL STUDY ON 63 PATIENTS WITH TIBIAL PLATEAU FRACTURES

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Norin Forna, Paul-Dan Sîrbu

Abstract

The aim of the study was to investigate the epidemiological characteristics of the subjects (demographic parameters), fractures (distribution of fractures in relation to OTA/AO classification, location, lesion mechanisms) as well as the osteosynthesis methods (types of implants) in a study group of patients with tibial plateau fractures. Materials and method. In a study group of 63 patients with tibial plateau fractures treated in Orthopedic Clinic – Traumatology Clinic Aschaffenburg-Alzenau (Germany) it was investigated the distribution of the fractures categories (OTA/AO classification), demographic factors (gendre; age group – 20-29 years, 30-39 years, 40-49 years, 50-59 years, 60-69 years, 70-79 years, 80-89 years), the location of the fracture (lower right-left limb), the mechanism of the injury (fall trauma, traffic accident, aggression). Also, it was recorded the frequency of the osteosynthesis methods used for the treatment of the patients with tibial plateau fractures. Results. The frequency of the tibial plateau fractures in relation to demographic parameters was as follows: gendre (57,3% male patients, 41,7% female patients); most affected age group was 40-59 years. The frequency of the tibial plateau fractures according to location was 55,6% in right lower limb and 44,4% in left lower limb. The most common injury mechanisms were fall trauma (71.4%), followed by traffic accidents (22,2%) and assaults (6,4%). The distribution of the fractures according to OTA/AO classification was as follows: 7,9% fractures class A, 58,7% fractures class B (B1.1 22.2%, B3.1 15.9%, B1.2 11.1%), 33,3% fractures class C. The distribution of the osteosynthesis methods in the patients with tibial plateau fractures was as follows: multiplates (2,56%), external plate + medial plate (23,06%), external plate (30,76%), external plate + Kirschner wires (7,69%), medial plate (30,76%), posterior plate (5,12%). Conclusion. The most frequent tibial plateau fractures were class B, found in male patients (age group 50-59), in the right lower limb. The most frequent osteosynthesis methods were the combinations between external/internal plates.