Abstract

BACKGROUND: Proximal tibial plateau fractures are serious and complex injuries that pose difficulty in management. Their management is challenging because of the severe displacement of the bony fragments, the concomitant depression and impaction of the cancellous subchondral bone, and the complications like Compartment syndrome, cartilage destruction, soft-tissue envelope damage, infection, knee instability, stiffness and arthritis.
OBJECTIVES: A comparative analysis of elevation of depressed tibial condyle fracture by autogenous bone graft and hydroxyl apatite crystals.
METHODS: A prospective study of 30 patients with Schatzker type II, III, V, and VI with depressed tibial plateau fractures were identified and divided into 2 groups, all the patients were treated by elevation of depressed tibial condyle fracture, patients in group A have been operated by using bone graft and in group B have been operated by using hydroxy apatite as void filler, 15 in each group.. The preoperative and intra operative and post operative data was noted and final evaluation was done using knee society score.
RESULTS: The patients were followed up at 1,3 and 6months, Fair results were seen in 53.30% of patients treated with bone graft and 80% of patients treated with hydroxyapatite crystals at one month, where as 46.70% of patients treated with bone graft and 20% of patients treated with hydroxy apatite crystals showed poor result at end of one month.93.3% of patients treated with bone graft and 86.7% patients treated with hydroxyapatite crystals showed excellent results, and 6.7% of patients treated with bone graft and 13.3% of patients treated with hydroxyapatite crystals have shown good results at 3 and 6 months.
CONCLUSION: We conclude that there was no much significant difference between functional outcome between both the groups but the complication of late collapse is higher in patients treated with bone graft when compared to those treated with hydroxyapatite crystals.