Surgical Treatment of Tibial Plate Fractures at CHU-Gabriel Toure (Bamako, Mali)

Abstract

This was a 4-year retrospective study from January 2019 to December 2022 involving 70 patients operated on in the orthopedic and trauma surgery department of the CHU-GT in Bamako. The aim was to study the epidemiological, anatomo-pathological, clinical characteristics, therapeutic and progressive, as well as the analysis of the results obtained. The male sex was the most affected with 87.1% of cases and a sex ratio of 6.7. The age group of 40 to 49 years represented 25.7%. The average age was 44.3 years with a range of 20 to 66 years. Public road accidents were the main cause of tibial plateau fractures with a rate of 92.9%. These joint fractures mainly affect the left side (64.3%) and are due in more than half of cases to traffic accidents. Radiographic analysis allows them to be properly coded according to the Schatzker classification. Surgical treatment is necessary for displaced forms. Our results were evaluated based on anatomical and functional criteria. They were satisfactory in 82.9% of cases, and thus remain in agreement with the data in the literature. Despite this, we should think about developing our therapeutic means, particularly minimally invasive techniques, in order to improve our results. To reduce the incidence of tibial plateau fractures and the severity of the injuries encountered, it is necessary to prevent road accidents and improve means of protection in road pathology.