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Determination of outcomes of complex upper end tibial fractures in squatting and cross leg sitting south Asian population

Injury Nov 27, 2020

Goyal R, et al. - Researchers aimed at determining the clinico-radiological and functional outcomes after operative fixation (mostly by locking plates) in complex upper end tibial fractures. In addition, they examined how functional outcome scores/range of motion associate with the ability to squat and sit cross-legged in postoperative period. A total of 33 patients who were mainly treated with locking plates were included in this prospective study. The patients, in majority, were from young and adult age groups with a male to female ratio of 4.5:1. Findings suggest that management of complex upper tibial fractures is challenging. The alignment, articular congruity and ligamentous balancing are managed properly with anatomical locking plates thus resulting in good mid-term outcomes after ORIF/MIPO. However, doubt remains concerning the applicability of the present functional outcome scores in assessing squatting/cross leg sitting. Based on findings, they suggest providing more weightage to these activities to evaluate the outcome in South Asian population.

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