Abstract:
Background. Tibial plateau fractures are difficult to treat
in orthopedic surgery and this calls for unique methods of
treatment that have successful outcomes. Study objective.
To evaluate the efficiency of different surgical interventions
in the management of tibial plateau fractures using various
classification systems. Material and methods. This was a
retrospective review of surgical cases from 2018-2022 at
the Department of Orthopedics and Traumatology, Nicolae Testemițanu University Data collected were on patient
demographics, fracture types, type of surgical procedures
carried out and postoperative results. The findings were
supported by applicable literature from PubMed, NCBI as well as other scientific databases. Results. The approach to
specific fracture patterns varied based on AO and Schatzker
classification systems which guided treatment decisions.
Open reduction internal fixation (ORIF) was applied for
anatomic repositioning while minimal invasive plate osteosynthesis (MIPO) provided stable fixation. Complications
were rare with most patients having good functional recovery. Conclusion. Optimum care planning and adherence to
classification-based operative strategies are necessary for
effective management of tibial plateau fractures. This study
highlights customized measures.
