EC Orthopaedics

This was an 18-month retrospective study from January, 2019, to December, 2022, involving 70 patients operated on in the orthopedic and trauma surgery department of the center hospitalize university Gabriel Toure of Bamako.

The goal is to study the characteristics epidemiologic, anatomo-pathological, clinical, therapeutic and evolutionary, as well as the analysis of the results obtained.

The male sex was most involved with 87.1% and a sex ratio of 6.7. The age group 40-49 years represented 25.7%. The average age was 44.3 years, with extremes of 20 and 66 years. Motor vehicle accidents (MVA) were the main cause of diaphyseal forearm bone fractures in adults, accounting for 92.9% of cases.

These articular fractures interest mainly the side left (64.3%) and are due in more half of the cases to traffic accidents. The radiographic analysis makes it possible to codify them well according to the classification of Schatzker. The surgical treatment is essential in front of the moved forms.

Our results were evaluated while being based on anatomical and functional criteria (walk, stability, pain, and mobility). They were satisfactory in 82.9% of the cases, and thus remain in agreement with the data of the international literature. In spite of that, it would be necessary to think of developing the our average therapeutic in particular initially mini-invasive techniques in order to improve even more the results. To decrease the incidence of the fractures of the tibial plates and the gravity of the lesions met, it is necessary to prevent the accidents of the public highway and to improve the means of protection in road pathology.

 Keywords: Fracture; Tibial Plates; Osteosynthesis

1. Diakite B. “Surgical treatment of tibial plateau fractures at the Kati BSS University Hospital”. Memory, Mali (2021).
2. Keita K. “Epidemiological, clinical and therapeutic study of fractures of the upper end of the tibia in 50 cases in the orthopedic and trauma surgery department of the H.G.T”. Thesis, FMPOS (2002).
3. Huten D., et al. “Recent fractures of adult tibial plateaus”. Technical edition. Encyclopedia medicosurgical (Paris France) musculoskeletal system 1408-B-10 12 (1990): 12.
4. Moussaqid M. “Schatzker V and VI tibial plateau fractures: treatment and prognosis”. Medical thesis in Marrakech (2020): 039.
5. Fofana A. “Clinical and therapeutic epidemiological study of fractures of the proximal end of the Tibia in the surgery department orthopedic and traumatology at CHU Gabriel TOURE”. Thesis of medicine, FMOS Mali 18M294 (2018).
6. Duparc F. “Recognize and treat a fracture of the tibial plateaus of the adult”. Concours Medical 16 (1998): 1179-1189.
7. Charalambous CP., et al. “Inter- and intra-observer variation of the schatzker and AO/OTA classifications of tibial plateau fractures and a proposal of a new classification system”. Annals of The Royal College of Surgeons of England 4 (2007): 400-404.
8. Fontaine C and Vannineuse A. “Knee fracture: Practical approach in orthopedics-traumatology”. Springer (2005).
9. Bengner U., et al. “Increasing incidence of tibia condyle and patella fractures”. Acta Orthopaedica Scandinavica 4 (1986): 334-336.
10. Girish HV., et al. “Surgical management of tibial plateau fractures - A clinical study”. Journal of Clinical and Diagnostic Research 12 (2013): 3128-3130.
11. Trenholm A., et al. “Comparative fixation of tibial plateau fractures using α-BSMTM, a calcium phosphate cement, versus cancellous bone graft”. Journal of Orthopaedic Trauma 10 (2005): 698-702.
12. Adoum AH., et al. “Surgical treatment of tibial plateau fractures in the city of Niamey: a report of 27 cases”. Health Sciences and Diseases: The Journal of Medicine and Biomedical Sciences3 (2023): 72-76.
13. Diallo CT. “Fractures of the tibial plateaus in the orthopedic and trauma surgery departments of the Fousseyni Daou hospital in Kayes and the Pr Bocar Sidy Sall University Hospital in Kati”. Medicine thesis, Mali 19M71 (2019).
14. Bounabe R. “Fractures of the tibial plateaus”. Medicine thesis Marrakech (2010).
15. Kouassi Kouame., et al. “Results of surgical treatment of tibial plateau fractures in a tropical environment”. Revintsc Méd1 (2022): 105-113.
16. Lemouakni S. “Fractures of the tibial plateaus”. Medical thesis, Rabat, thesis n°: 292 (2015).
17. Aliane Meryem Nadia., et al. “Epidemiological, clinical and therapeutic study of tibial plateau fractures at the orthopedic surgery and traumatology department of the University Hospital - Tlemcen”. Medical thesis, (2017).
18. Sangare IT. “Epidemiological, clinical and therapeutic study of fractures of the upper end of the tibia”. Medicine thesis Bamako (2007).
19. Almeimoune A., et al. “Epidemiological and clinical aspects of trauma linked to road traffic accidents (ACR) involving motorcycles in Bamako”. Afr. Anesthesiol. Med. Emergency 22.1 (2017): 64.
20. Tadsaoui S. “Surgical treatment of tibial plateau fractures using the “Scaffolding” technique”. Medical thesis, Marrakech, No. 002 (2019).
21. Chan YS., et al. “Arthroscopy-assisted surgery for tibial plateau fractures: 2-to 10-year follow-up results”. Arthroscopy7 (2008): 760-768.
22. Yacoubian Stephan V., et al. “Impact of MRI on treatment plan and fracture classification of tibial plateau fractures”. Journal of Orthopedic Trauma9 (2002): 632-637.
23. MV Rademakers., et al. “Operative treatment of 109 tibial plateau fractures: five- to 27-year follow-up results”. Journal of Orthopaedic Trauma 1 (2007): 5-10.
24. Prasad GT., et al. “Functional outcome of Schatzker type V and VI tibial plateau fractures treated with dual plates”. Indian Journal of Orthopaedics 2 (2013): 188-194.
25. Zhang Y., et al. “Treatment of complicated tibial plateau fractures with dual plating via a 2-incision technique”. Orthopedics 3 (2012): e359-e364.
26. Barei DP., et al. “Complications associated with internal fixation of high-energy bicondylar tibial plateau fractures utilizing a two-incision technique”. Journal of Orthopaedic Trauma 10 (2004): 649-657.
27. Virender Kumar., et al. “A clinico-radiological study of bicondylar tibial plateau fractures managed with dual locking plates”. Journal of Clinical Orthopaedics and Trauma 21 (2021): 101563.
28. MJ EL Mekkaoui., et al. “les fractures des plateaux tibiaux à propos de 48 cas”. Revue Marocaine de Chirurgie Orthopédique et Traumatologique 85 (2020).
29. Ralf Henkelmann., et al. “Infection following fractures of the proximal tibia - a systematic review of incidence and outcome”. BMC Musculoskeletal Disorders1 (2017): 481.