OJO  Vol.8 No.10 , October 2018
Osteosynthesis Results of Tibia Plateau Fractures at the Yalgado Ouedraogo University Hospital Center
ABSTRACT
The sophistication of the implants allows the extension of the surgical indications for tibia plateau fractures. These fractures, which are often comminuted, are caused by a high velocity trauma, making treatment difficult. Objective: The aim of this study was to determine the indications for osteosynthesis of tibia plateau fractures in the orthopaedic-traumatology department of the Yalgado Ouédraogo University Hospital, in order to evaluate the results for their better management. Patients and Methods: it was a 5-year retrospective study of the records of patients with tibia plateau fracture operated and hospitalized in our department. The anatomical-clinical and therapeutic aspects collected from the complete files were analysed. A cortico-cancellous graft was performed in 67.4% of cases. The results were evaluated according to the criteria of Merle d’Aubigné and Mazas [1]. Road traffic accidents (97.4%) were the predominant etiology, involving mainly motorcycles (97.8%). Results: Spino-tuberository and uni-tuberository fractures were the most common. The average consolidation time was 12.5 weeks. One urinary infection, 3 superficial suppurations, 3 vicious calluses and 2 equipment dismantlings were the main complications. Our results were excellent and good in 91.3% and fair in 6.5%. Osteosynthesis of tibial plateau fractures provides excellent results and remains the most appropriate procedure to treat these fractures. Conclusion: reduce the operating time, modernize the technical platform, will allow stable osteosynthesis and early functional rehabilitation to optimize their results.
Cite this paper
Da, S. , Dabiré, M. , Korsaga, A. , Ouédraogo, J. , Kafando, H. , Tinto, S. , Sagnon, B. and Tall, M. (2018) Osteosynthesis Results of Tibia Plateau Fractures at the Yalgado Ouedraogo University Hospital Center. Open Journal of Orthopedics, 8, 363-372. doi: 10.4236/ojo.2018.810039.
References
[1]   Masses, Y. and Mazas, F. (1977) devenir à long terme des fractures des plateaux tibiaux. Revue de Chirurgie Orthopédique et Traumatologique, 63, 203.

[2]   Huten, D., Duparc, J. and Cavagna, R. (1990) Fractures des plateaux tibiaux de l’adulte [14-082-A-10]. Ajout d’une étoile “en dur” pour les articles de JRDIA

[3]   Hachimi, Kh., Bekkali, Y., Fnini, S., Rafai, M., Garch, A., Ouarab, M. Largab, A. and Trafeh, M. (2006) Traitement des fractures des plateaux tibiaux par vissage percutané service de traumatologie-orthopédie, CHU Ibn Rochd. Revue Marocaine de Chirurgie Orthopédique et Traumatologique, 26, 20-21.

[4]   Honkonen, S.E. and Jarvinen, M.J. (1992) Classification of Fractures of the Tibial Condyles. The Journal of Bone and Joint Surgery, 74b, 840-847.
https://doi.org/10.1302/0301-620X.74B6.1447244

[5]   Koulali, K.I., Rafai, M., Cohen, D., Fnini, S., Largab, A., Ouarab, M. and Trafeh, M. (2003) Fractures des plateaux tibiaux: à propos de 100 cas. Revue Marocaine de Chirurgie Orthopédique et Traumatologique, 18, 14-21.

[6]   Laporte, J.D. (2000) Epidémiologie des fractures du plateau tibial. Doc Web.

[7]   Sawadogo, M., Dakouré, P., Tall, M., Kafando, H., Ouédraogo, S. and Da, S.C. (2013) Fractures des plateaux tibiaux au Centre Hospitalier Régional de Ouahigouya (Burkina Faso): résultats du traitement chirurgical. Orthopedics Emergency of Africa, 2, 19-21.

[8]   Da, S.C., Ouedraogo, S., Dieme, C., Kafando, H., Zan, A., Nacoulma, S.I. and Ouedraogo, R.K. (2008) Fracture de membres aux urgences traumatologiques de Ouagadougou (Burkina Faso). Journal des Sciences, 8, 1-9.

[9]   Trojani, Ch., Jacquot, L., Ait Si Selmi, T. and Neyret, P.H. (2003) Les fractures récentes des plateaux tibiaux de l’adulte: physiopathologie, diagnostic, classifications et traitement: Maitrise Orthopédique n°127.

[10]   Le Huec, J.C. (1996) fractures articulaires récentes de l’extrémité supérieure du tibia. Conférence d’enseignement. Cahiers d’Enseignement de la SOFCOT, n°55, 97-117.

[11]   Sie Essoh, J.B. and Lambin, Y. (2016) Fractures des plateaux tibiaux à haute vélocité: évaluation et traitement. [High Energy Tibial Plateau Fractures: Evaluation and treatment.] African Journal of Orthopeadics and Trauma, 1, 95-101.

[12]   Duparc, J. and Filipe, G. (1975) Fractures spino-tubérositaires. Revue de Chirurgie Orthopédique et Traumatologique, 61, 705-716.

[13]   Kasse, N.A., Soulama, M., Diao, S., Diallo, M., Thiam, B. and Sy, M.H. (2016) Traitement des fractures complexes des plateaux tibiaux par la méthode d’Ilizarov. African Journal of Orthopeadics and Trauma, 1, 120-125.

 
 
Top