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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparing the Effectiveness of Bone Grafting Versus Cannulated Screw Fixation in the Treatment of Posterolateral Tibial Plateau Compression Fractures With Concomitant ACL Injury

Venkata Suresh Kumar Savirigana and Jinagam M. Praveen Kumar
Page: 107-113 | Received 15 Apr 2024, Published online: 06 Jun 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.7.107.113

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Abstract

Posterolateral tibial plateau compression fractures (PTPCF) contribute significantly to knee instability and anterior cruciate ligament (ACL) reconstruction failure. The efficacy of fixation without metal implants for such cases remains uncertain. This study aims to assess the stability of isolated bone grafting fixation for PTPCF with concurrent ACL injuries. This retrospective analysis involved patients treated for concurrent ACL injuries and PTPCF in our institution. Fifty‐five patients (24 males, 31 females, mean age: 49.2±13.3 years) were included. Patient data encompassed injury causation, affected side, anthropometric measures, and medical history. Fixation stability was evaluated through measurement of posterior and lateral tibial plateau inclination angles. Knee functional recovery was assessed using Rasmussen functional scores and Hospital for Special Surgery (HSS) scores. The bone grafting group attained satisfactory Rasmussen scores (28.32±0.83) and HSS knee joint function scores (95.35±1.93). The cannulated screw fixation group exhibited Rasmussen knee joint function scores of 28.73±0.90 and HSS knee joint function scores of 98.05±1.91, with no significant differences (P>0.05). Posterior inclination angle reduction loss was 0.19°±1.12° in the screw fixation group and 0.17°±1.01° in the bone grafting group, with no significant difference (P>0.05). Lateral inclination angle reduction loss was 0.02°±0.35° in the screw fixation group and 0.04°± 0.45° in the bone grafting group, with no significant difference (P>0.05). The use of bone grafting fixation for PTPCF with concurrent ACL injuries yielded comparable knee joint function outcomes. In uncomplicated PTPCF cases, filling and compacting the bone defect beneath the tibial plateau fracture fragment can provide satisfactory fixation, eliminating the need for additional cannulated screw fixation.

How to cite this article:

Venkata Suresh Kumar Savirigana and Jinagam M. Praveen Kumar. Comparing the Effectiveness of Bone Grafting Versus Cannulated Screw Fixation in the Treatment of Posterolateral Tibial Plateau Compression Fractures With Concomitant ACL Injury.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.107.113
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.107.113