Abstract

Tarik El Mountassir*, Karim El Hammiri, Yassine Moubadi, Anass Lahlou, Moncef Boufettal, Reda Allah Bassir, Mohamed Kharmaz, Moulay Omar Lamrani and Mohamed Saleh Berrada

ABSTRACT

Tibial endplate fractures are joint fractures that lead to post-traumatic knee osteoarthritis. The aim of our work is to analyze the therapeutic and evolutionary aspect (prognosis) of fractures of the Schatzker V and VI tibial plates, collected at the orthopedic trauma service of the Ibn Sina University Hospital in Rabat and to compare them with those in the literature. This was a retrospective, descriptive and analytical study, spread over a period of 6 years from January 1, 2015 to December 31, 2020 at the traumatology-orthopedics department of CHU Ibn Sina in Rabat. We included in the series all patients hospitalized for a tibial plateau fracture classified Schatzker V and VI during the study period 62 cases. The medical file, the treatment card and the hospitalization register formed the basis of entry of epidemiological, clinical, therapeutic and evolutionary data. The external Gernez approach was the most used in 59.3% of cases, the osteosynthesis material used varied from a screw plate, a simple screw connection or a combination of the two. In our series, we noted 42% good and very good results based on functional results and 46.7% good and very good results based on anatomical results according to the criteria of MERLE D’AUBIGNE and MAZAS.