EVALUATION OF THE RESULTS OF THE MANAGEMENT OF TIBIAL PLATEAU FRACTURES BY PERCUTANEOUS CANCELLOUS SCREWS FIXATION

Abstract

Tibial plateau fractures present a potentially complex injilly to a large weight bearing joint. They encompass a broad spectrum of both osseous and soft tissue injury. (lJ These injuries are often associated with articular surface incongruity and limb instability.< 1 2l Tibial plateau fractures result from a combination of axial compression and an abduction or adduction force.(3.4)

The optimal treatment of patients with tibial plateau fractures remains controversial, and a wide variety of treatment modalities have been reported.(S)

The goal of fracture treatment is to obtain a painless well functioning knee with a full range of extension and a range of flexion exceeding 120° without any angular deformity or instability.U.S) The amount of residual joint incongruity or malalignment that is compatible with a good long tenn result remains controversial <2.6l

The main goal of recent researches is to adopt the least invasive means possible to achieve the goals of a congruent joint surface with stability sufficient enough to allow early motion.