Özet:

OBJECTIVE: To compare the results of tibia plateau fractures treated by locked plate, conventional plate, double plate and ilizarov fixation with special reference to the energy and the fracture and correlate with degree of osteoarthritis and radiological parameters. METHODS: All patients with tibial plateau fractures between 2000-2007 were reviewed (23 men and 16 women; average age 49.43 years; range between 18-84 years). The patients were evaluated according to Rasmussen functional knee score (RFK), Rasmussen radiological healing score (RRH), Kell Lawrance grading of the osteoarthritis (KL). Correlation analysis between parameters was made. Results: Conventional unlocked plate had higher RFK, RRH scores than locked plate, double plate and ilizarov groups (p<0.05). RRH score of locked plate group was higher than ilizarov group (p<0.05). However low energy group had higher scores than high energy group (p<0.05). Scores did not differ for high energy between the groups (p>0.05)..At the correlation analysis, there were positive correlations between functional, radiological scores and negative correlation between degree of osteoarthritis and radiological scores. There was no correlation between the degree of osteoarthritis and the functional scores (p>0.05). The short to medium prognosis probably depends on the alignment, stability of the knee while osteoarthritis seems to be secondarily important which may change at longer-term follow-up.