Surgical Management of Tibial Plateau Fractures in Damascus Hospital during The Syrian Crisis

Abstract Introduction: With increasing advances in transportation (cars, motorcycles ... etc.), urban advancement, and life activities; and thus, the incidence of fractures had increased among all members of society, The fractures of the tibial plateau had a share in that, and it was necessary to review and evaluate what is being done for this growing segment of patients. Methods: A retrospective cohort study was conducted among patients with tibia plateau fractures between 2015 and 2021. This has been done by reviewing the patients' files in Damascus Hospital and recording information by the researcher on a research questionnaire, the sample number was 107 patients. Results: the age group most affected by tibial plateau fractures was concentrated in the age group between 31-40 years at a rate of 30%, and the percentage of injured males was higher at a rate of 85%, and the most common mechanism of injury was a fall at a rate of 67.3%, and as noted the dominance of type -2- of the Schatzker classification With a percentage of 42.1%, the most commonly used method of surgical management was via plates with a percentage of 60.8%. As for postoperative complications, the incidence of sepsis was 2.8%, and the failure of recovery materials was 1.9%. From the results, a statistically significant result was found for the relationship between the length of stay in the hospital with the occurrence of complications postoperatively (p=0.001). Discussion: Many of the results of our research agreed with other international studies on various levels, such as complication rates regarding sepsis, for example, and the surgical method used in fracture management was through plates, and fracture epidemiology according to the Schatzker pattern, which was the most common (type 2). Conclusion: We note the necessity and importance of evaluating the preoperative fracture according to international standards, and thus adopting the best method of inference according to the fracture pattern and the accompanying injuries, all of which were found to be directly related to the results of the surgical procedure, thus reaching the optimal result.