Abstract

Background: fracture of proximal end of tibia account for approximately 1/6 of all fracture seen and treated in emergency room. Proximal tibia Fracture frequently shows intraarticular involvement and communition. These fractures often are unstable, are difficult to reduce anatomically and are associated with high prevalence of complication. Restoration of normal alignment and articular congruity after a displaced fracture can we difficult, but it is essential for good functional results. The principal of treatment for proximal tibia fracture are anatomical reconstruction, stable fixation and early motion. Closed reduction and plaster casting and internal fixation is done in most fracture of proximal tibia, especially stable once and unstable also. The presents study were carried out to study and comparision of schatzker and duparc classification and role of ct scan in tibial plateau fractures.

Materials and Methods: The study was conducted in Mahatma Gandhi medical College & Hospital, Jaipur from 31 may 2013 to nov 2014. Total 23 cases of proximal tibia fracture were choosen. The patients were treated either by closed reduction and plaster or closed reduction and internal fixation. There were 23 patients choosen randomly; the outcome of treatment had done at the end of study on the basis of functional and radiological results according to schatzker and duparc classification.

Results:  We found that out of 23 patients  there were 9 fractures of the lateral tibial plateau ,5 spino-condylar fractures ,4 medial tibial fractures, 5 bituberosity fractures More than a third of patients has associated injuries primarily affecting the fibula 1 case was involved in a polytraumatism  

Conclusion: Although the information obtained from plain x-rays is of value if viewed carefully, however CT scans offer a clear picture of fractured tibial plateau and the extent of cortical communition. Based on our results we propose Duparc and Ficat classification to be good for classifying proximal tibial fractures in pretherapeutic assessment.

Keywords: radiological assessment, treatment, early mobilization.