Özet:

Objective: The aim of this study is to research the factors affecting the result of tibia plateau fractures and evaluating the correlation between the clinical scores and Rasmussen radiologic and osteoarthritis stage. Material and Methods: Between January 2007 and June 2013, in the Department of Orthopaedics and Traumatology of Ankara Numune Education and Research Hospital Clinic A 30 patients who were made surgical treatment diagnosed with tibia plateau fractures evaluated.  The results of patients were evaluated retrospectively. Results: 21(70%) of patients were male and remaining 9 (30%) were female. The ages of the patients were between 18-71 and the average patient age was 45.7± 15.2. 16 fractures were located on the left side and 14 were on the right side. The surgical treatment of these cases patients complited between 1-14 days. The average follow-up was 23.3±17.8(6-72) months. The most common mechanism of injury was motor wehicle accident. The fractures were classified according to Schtazker. There were 6 type I, 11 type II, 1 type III, 3 type IV, 8 type V and 1 type VI. We used Liss plate in 23 patients, cannulated screw in 6 patients and both liss plate and canulated screw in one patient. According to Rasmussen clinical score, 19 cases had an excellent result, 8 cases had a good result, 1 case had a moderate result. According to Rasmussen radiological score, 2 cases had an excellent result, 17 cases had a good result, 8 cases had a modarete result 3 cases had a bad result. Postoperative complications included superficial infections in four patients, arthrophibrosis in eight patients, deep vein thrombosis in one patient and infrapatellar nerve injury in one patient. Conclusion: Consequently, as tibial plateau fractures are articular fractures, proper surgical method should be selected by taking into consideration the type and area of fracture, degree of migration and fracture, and the accompanying damages of bone and soft tissue.

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