1. A PROSPECTIVE STUDY OF FUNCTIONAL EVALUATION OF ARTHROSCOPIC
ASSISTED REDUCTION AND FIXATION OF PROXIMAL TIBIAL INTRA-ARTICULAR
FRACTURES.
NAME OF THE CANDIDATE : Dr. VISHAL DAHIYA
GUIDE : Dr. PRAMOD KUMAR M
PROFESSOR,
DEPT. OF ORTHOPAEDICS
COURSE AND SUBJECT : M.S. ORTHOPAEDICS
THESIS: SYNOPSIS PRESENTATION
2. Introduction & Need for the study
• Proximal tibial fractures are common and difficult-to-manage injuries.
• These may be associated with meniscal tears, cruciate ligaments
injuries or collateral ligaments damage.
• Their surgical management is often challenging.
• The treatment goals consist of anatomic reduction, stable fixation
consistent with early mobilization, and minimization of surgical
trauma.
3. Introduction & Need for the study
• Open reduction and internal fixation [ORIF] is the standard treatment
option.
• Recently arthroscopic-assisted reduction and internal fixation (ARIF)
has gained a prominent place.
• This method has the advantage of direct and better vision of articular
surface reduction through a minimal invasive procedure without
violating the intra-articular structures and the treatment of additional
intra-articular lesions.
4. Review of literature
1. Several studies conducted in the past such as by Levy et al, Verona
M. et al, Zawam SHM, Chan et al demonstrated several advantages
of arthroscopic technique.
2. The groups treated with the arthroscopic technique showed
better results in terms of length of hospital stay, clinical scores, and
time to full weight-bearing recovery.
5. Objectives of study
• To study the functional evaluation of arthroscopic assisted reduction
and fixation of proximal tibial intra-articular fractures.
6. Sample size
• According to the hospital statistics, an average number of 20 patients
per year satisfying the inclusion criteria have undergone various
surgical modalities in previous two years.
• Hence, I intend to study about 20 cases during the study period
7. Inclusion criteria
• Tibial plateau fractures which are classified in Schatzker I - III
fractures in non osteopenic bone.
• Patient age above 18 years.
• All gender patients will be included.
• Patients with closed fractures
8. Exclusion criteria
• Patients with Grade IV and above arthritic changes involving the knee based
on Kellgren and Lawrence system of Classification.
• Patients with open, comminuted and schatzker type IV, V and VI fractures of
tibial plateau
• Patients with Polytrauma and multiple lower limb bone fractures.
• Patients with septic arthritis of knee
• Patients refusing to give written informed consent
9. Investigations:
1) Routine Blood investigations.
2) ECG
3) Chest X ray PA view
4) 2D ECHO (wherever indicated)
5) Plain X-ray of the affected knee with leg – Antero-posterior and lateral views.
6) CT scan of the affected knee.(wherever indicated)
