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Title: :  FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM
PaperId: :  20005
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 9 Issue 3 2023
DUI:    16.0415/IJARIIE-20005
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
Hom bahadur gurungNAMS
Binit DhakalNAMS
Dirga raj RCCivil hospital
Rishi BistaNAMS
Kathit Raj Ghimire NAMS

Abstract

medicine/orthopedics
bicolumnar plating,tibial plateau fracture,Modified clinical Rasmussen Assessment criteria
FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM HOM BAHADUR GURUNG1, DIRGARAJ RC2, RISHI BISTA3, BINIT DHAKAL 4, KATHIT RAJ GHIMIRE 5 BACKGROUND Tibial plateau fractures are one of the commonest intra articular fractures. Results from indirect coronal or direct axial compressive forces. Among Tibial plateau fractures, Schatzker type V and VI tibial fractures are complex injuries, usually treated with open reduction and internal fixation (ORIF) using bicolumnar plates. AIM: This study was done to determine functional outcome of Schatzker V and VI tibial plateau fractures treated with bicolumnar plates with a regular follow-up of 6 months. MATERIALS AND METHODS: Total 34 cases of tibial plateau fracture type V and VI treated with bicolumnar plating via 2 incisions were studied from January 2021 to December 2021 in National Trauma Center, National Academy of Medical Sciences, KATHMANDU. The follow up duration ranged from One week to 6 months. The patients were operated through an anterolateral approach for lateral plate and a medial column plate was put through a minimally invasive medial approach or an open posteromedial approach. RESULTS: Total 34 patients were evaluated postoperatively thoroughly for functional outcome by Modified clinical Rasmussen Assessment criteria which showed 3 patients (8.82%) had excellent,25 patients (73.52%) had good,4 patients (11.73%) had fair and 2 patients (5.88%) had poor outcome CONCLUSION: We concluded open reduction and internal fixation of high-energy tibial plateau fractures with bicolumnar plates have good functional outcome with minimal soft tissue complications. Thus, a minimally invasive approach should be used which helps in preventing soft tissue problems and helps in early wound healing. Fixation done by Dual plating is important for early mobilization of knee joint. Early mobilization leads to better range of movements and thereby better functional outcome.

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IJARIIE Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, and Kathit Raj Ghimire . "FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM" International Journal Of Advance Research And Innovative Ideas In Education Volume 9 Issue 3 2023 Page 773-780
MLA Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, and Kathit Raj Ghimire . "FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM." International Journal Of Advance Research And Innovative Ideas In Education 9.3(2023) : 773-780.
APA Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, & Kathit Raj Ghimire . (2023). FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM. International Journal Of Advance Research And Innovative Ideas In Education, 9(3), 773-780.
Chicago Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, and Kathit Raj Ghimire . "FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM." International Journal Of Advance Research And Innovative Ideas In Education 9, no. 3 (2023) : 773-780.
Oxford Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, and Kathit Raj Ghimire . 'FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM', International Journal Of Advance Research And Innovative Ideas In Education, vol. 9, no. 3, 2023, p. 773-780. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/FUNCTIONAL_OUTCOME_OF_BICOLUMNAR_PLATING_IN_TIBIAL_PLATEAU_FRACTURES_SCHATZKER_TYPE_V_AND_VI_USING_MODIFIED_CLINICAL_RASMUSSEN_SCORING_SYSTEM_ijariie20005.pdf (Accessed : 20 November 2024).
Harvard Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, and Kathit Raj Ghimire . (2023) 'FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM', International Journal Of Advance Research And Innovative Ideas In Education, 9(3), pp. 773-780IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/FUNCTIONAL_OUTCOME_OF_BICOLUMNAR_PLATING_IN_TIBIAL_PLATEAU_FRACTURES_SCHATZKER_TYPE_V_AND_VI_USING_MODIFIED_CLINICAL_RASMUSSEN_SCORING_SYSTEM_ijariie20005.pdf (Accessed : 20 November 2024)
IEEE Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, and Kathit Raj Ghimire , "FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM," International Journal Of Advance Research And Innovative Ideas In Education, vol. 9, no. 3, pp. 773-780, May-Jun 2023. [Online]. Available: https://ijariie.com/AdminUploadPdf/FUNCTIONAL_OUTCOME_OF_BICOLUMNAR_PLATING_IN_TIBIAL_PLATEAU_FRACTURES_SCHATZKER_TYPE_V_AND_VI_USING_MODIFIED_CLINICAL_RASMUSSEN_SCORING_SYSTEM_ijariie20005.pdf [Accessed : 20 November 2024].
Turabian Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, and Kathit Raj Ghimire . "FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 9 number 3 (20 November 2024).
Vancouver Hom bahadur gurung, Binit Dhakal, Dirga raj RC, Rishi Bista, and Kathit Raj Ghimire . FUNCTIONAL OUTCOME OF BICOLUMNAR PLATING IN TIBIAL PLATEAU FRACTURES SCHATZKER TYPE V AND VI USING MODIFIED CLINICAL RASMUSSEN SCORING SYSTEM. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2023 [Cited : 20 November 2024]; 9(3) : 773-780. Available from: https://ijariie.com/AdminUploadPdf/FUNCTIONAL_OUTCOME_OF_BICOLUMNAR_PLATING_IN_TIBIAL_PLATEAU_FRACTURES_SCHATZKER_TYPE_V_AND_VI_USING_MODIFIED_CLINICAL_RASMUSSEN_SCORING_SYSTEM_ijariie20005.pdf
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