FUNCTIONAL OUTCOME OF CLOSED REDUCATION AND PERCUTANEOUS SCREW FIXATION OF SCHATZKER TYPE I FRACTURE OF TIBIA

Objective: To determine functional outcome of closed reduction and percutaneous screw fixation of Schatzker type I fracture of proximal tibia. Material and methods: Study Design: Retrospective Case Series. Setting: Department of Orthopaedic Surgery Sheikh Zayed Medical College/ Hospital Rahim Yar Khan from April 2018 to April 2020. Methodology: Patients having schatzker type I fracture of tibia selected by non-probability consecutive sampling were included in the study. Closed reduction & percutaneous fixation was done with concellous screws. These patients were followed for three months and functional outcome (as defined in operational definition) was measured. Data entry and analysis was done using SPSS version 25. Results: Out of 47 cases there were 40 males and 7 females with mean age of 39.46±7.809 years. The mean duration of fracture was 3.68±2.217 days. Satisfactory functional outcome was seen in 40 cases with male showing better results than females. Satisfactory functional outcome was seen in 90% of patients aged 20-50 years whereas 42.9% of cases aged above 50 years had unsatisfactory results and the difference was statistically significant with p value of 0.024. Outcome was poor in cases presented after seven or more days of injury. Conclusion: Closed reduction and percutaneous screw fixation of schatzker type I fractures of proximal tibia is a suitable option to achieve satisfactory functional outcome in terms of knee range of motion and stability in union in physiologically active patients. Key words: Functional outcome, Schatzker type I fracture of tibia, closed recuction and percutaneous screw fixation