Functional Outcome of Clo¬¬¬sed Reduction and Percutaneous Screw Fixation for Management of Schatzker Type I Fracture of Tibia in a Tertiary Care Hospital

Abstract

Objective: To determine the functional outcome of closed reduction and percutaneous screw fixation (PSF) for management of Schatzker type I fracture of tibia.

Study Design: A descriptive case series.

Place and Duration of Study: This study was conducted at the Department of Orthopedics, Sahiwal Teaching Hospital, Sahiwal from October 2020 to April 2021.

Materials and Methods: A total of 86 patients presenting with Schatzker type I fracture of tibia and managed with closed reduction and PSF were analyzed. All patients were followed-up in outpatient department. After 3 months, patients were evaluated by using Rasmussen criteria and score was noted. If score >28, then excellent outcome was labeled.

Results: In a total of 86 patients, 79 (91.9%) were male and 7 (8.1%) female. The mean age was 43.41±12.94 (ranging between 16-65 years). The right limb was affected 39 (45.3%) patients and left in 47(54.7%) patients. The mean duration of fracture was 6.93±1.62 hours (ranging between 4-10 hours). The most common mode of injury was road traffic accidents noted in 43 (50.1%) patients. After 3-months of surgery, the mean Rasmussen score was 31.69±5.58 (ranging between 19-48) while excellent functional outcome was found in 70 (81.4%) patients.

Conclusion: The closed reduction and PSF showed excellent functional outcome in 81.4% patients managed for Schatzker type I fracture of tibia in a tertiary care hospital.