2026-05-13T16:42:29Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/ojor.000053 2025-08-22 PTZ.OJOR:VOL10

Tibial Plateau Fractures: Therapeutic and Prognostic Aspects of Surgical Management Abdoulaye Camara Mohamed Daffe Badara Dembele Malick Diop Mayoro SowAndré Daniel Sane<p>Introduction: Tibial plateau fractures account for 5–8% of lower limb fractures and 1% of fractures in adults.&nbsp;</p><p>Materials and methods: This was a prospective, single-center, descriptive, continuous study conducted over an 18-month period, from September 15, 2022, to March 15, 2024, in the Orthopedics and Traumatology Department of CHNDJ.</p><p>We studied the therapeutic and evolutionary aspects of surgical treatment for tibial plateau fractures.&nbsp;</p><p>Results: The time to treatment was 2 to 6 days in 56.2% of our patients. The anterolateral approach was used in 74% of cases. Lateral screw plates were used in 53.1% of our patients, and external fixators combined with screws in 15.6% of patients. The average length of hospital stay was 4.6 days, ranging from 1 to 54 days. The average time to bone union was 12 weeks, ranging from 8 to 16 weeks. Our anatomical results were very good or good in 79.2% of cases, and the overall functional results were very good or good in 95.8% of cases.</p><p>We recorded 15.8% infection, 5.3% skin necrosis, 10.5% knee stiffness, 5.3% malunion, 15.8% gonarthrosis, and 15.8% proximal tibial necrosis.&nbsp;</p><p>Conclusion: Tibial plateau fractures are clearly on the rise in our societies with the advent of motorized two-wheeled vehicles as a means of public transportation. Tibial plateau fractures are breaks in the bone continuity affecting the metaphyseal-epiphyseal spongy bone at the upper end of the tibia, at least one of which divides the articular cartilage [1].&nbsp;</p> Open Journal of Orthopedics and Rheumatology - Peertechz Publications 2025-08-22 Research Article https://doi.org/10.17352/ojor.000053 en Copyright © Abdoulaye Camara et al.