Particulars of surgical treatment of tibial plateau fractures

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.