A STUDY TO CONFIRM OR REFUTE THE SUPERIORITY OF COMPUTED TOMOGRAPHY (CT), IN SURGICAL PLAN OF PROXIMAL TIBIA FRACTURES OVER PLAIN RADIOGRAPHS ALONE

Dr. Gaurav Sahu, Dr. Sunit Pal, Dr. Ashish Sirsikar

Abstract


The anatomic configuration of the proximal tibia is such that the fractures of these regions are not adequately visualized on conventional
radiographs. There has been a conflicted opinion among orthopaedic surgeons worldwide about the need of CT scan in these fractures and its
advantages.
Objectives: To classify and decide plan of management of each fracture according to Schatzker's classification in two proformas, first with X-ray
alone and then after seeing CT scan, and to assess how the surgical plan changes after introducing CT scans.
Methods: This is a cross-sectional, prospective study of 60 patients diagnosed with proximal tibia fracture from January 2016 to June 2017.
Results: In our study of 60 patients, Schatzker's type 1 (33.33%) was the most commonly encountered fracture type and antero- lateral plating
(38.09%) was the most commonly opted treatment modality by the operating surgeon on X-ray. After CT scan, Schatzker's type 5 (40.49%) was
most commonly observed and Bi-condylar plating (23.81%) was the most commonly chosen mode of treatment.
Conclusion: CT scan should be used to supplement the plain radiographs for better diagnosis, pre-operative evaluation and management of
proximal tibia fractures.


Keywords


Proximal tibial fractures, CT scan, plain radiograph

Full Text:

PDF

Refbacks

  • There are currently no refbacks.