A comparison of lateral fixation versus dual plating for simple bicondylar fractures

The Knee ◽  
2015 ◽  
Vol 22 (3) ◽  
pp. 225-229 ◽  
Author(s):  
Yunfeng Yao ◽  
Hao Lv ◽  
Junfeng Zan ◽  
Jisen Zhang ◽  
Nan Zhu ◽  
...  
Keyword(s):  
Dual Plating ◽  
Bicondylar Fractures ◽  
Lateral Fixation

scholarly journals Assessment of Functional Outcome of Bicolumnar Dual Plating for Bicondylar Fractures of Tibial Plateau

2022 ◽  
Vol 19 (1) ◽  
pp. 101-105
Author(s):  
Dinesh Kumar Shrestha ◽  
Dipendra KC ◽  
Prateek Karki ◽  
Sabin Shrestha ◽  
Sushil Yogi
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Tibial Plateau ◽  
College Teaching ◽  
Common Peroneal Nerve ◽  
Schatzker Type ◽  
Dual Plating ◽  
Duration Of Surgery ◽  
Bicondylar Fractures

Introduction: Operative treatment of bicondylar fractures of tibial plateau is challenging and controversial. Aims: The aim of this study is to reveal the functional outcome of it by using bicolumnar dual plates and screws. Methods: This is a prospective hospital based interventional study carried out in the department of Orthopaedics of Nepalgunj Medical College Teaching Hospital. Thirty two Schatzker type V or AO (Association of Osteosynthesis) type 41 C1 & C2 fractures were treated between January 2016 and December 2019 with bicolumnar dual plating. The functional clinical outcomes were analyzed and evaluated using modified Rasmussen score. Results: Thirty two patients were included in the study. Out of which twenty four were male and eight were female. Average age was 32.21 years, eighteen were right sided and fourteen were left sided. Duration of surgery was 106 mins (range 90-120 mins) and the average duration of hospitalization was 7.81 days (range 4-14 days). Five patients of impending compartment syndrome and three patients with common peroneal nerve palsy were managed conservatively and also were included in the study. Two patients with superficial wound infection needed minimal debridement. One patient had varus angulation of 100 at third follow up after he fell from bed but surgical intervention were not needed. All fractures united. The average time for fracture healing was 21.5 weeks (range 16-32 weeks). At the Eighteen months follow up, the average knee range of motion was 1310(range 1100-1400). The functional outcome were evaluated using modified Rasmussen scoring system, which was 27.34 (range 22-30). Conclusion: Bicolumnar dual plating for bicondylar fractures of tibial plateau can provide excellent and stable fixation allowing early range of motion and gives excellent to good functional outcome.

Controversies in Managing of Thoracic-Lumbar Upper Burst Fractures

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Sahat Edison Sitorus
Keyword(s):  
Decision Making ◽  
Spinal Cord ◽  
Posterior Instrumentation ◽  
Burst Fracture ◽  
Surgical Decompression ◽  
Neurologic Deficit ◽  
Retroperitoneal Approach ◽  
Burst Fractures ◽  
Lateral Fixation

Upper burst fracture of Th12-L1 has unique anatomy because it contains lower spinal cord, medullary cone, and diaphragm which separates between the thoracic and lumbar spine.The presence or absence of neurologic deficit is the single most important factor in the decision making. The presence of profound but incomplete neural deficit in association with canal compromise represents an urgent indication of surgical decompression. Antero-lateral direct decompression with trans-thoracic trans-pleural–retroperitoneal approach given the proximity the cord and conus is the most effective method, with inter-vertebral instrumentation with or without lateral fixation or posterior instrumentation.

Biomechanical and anatomical considerations for dual plating of distal femur fractures: a systematic literature review

2021 ◽  
Author(s):  
Graham J. DeKeyser ◽  
Anne J. Hakim ◽  
Dillon C. O’Neill ◽  
Carsten W. Schlickewei ◽  
Lucas S. Marchand ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Distal Femur ◽  
Femur Fractures ◽  
Dual Plating

Posterior Dual Plating for Distal Shaft Fractures of the Humerus

2017 ◽  
Vol 30 (3) ◽  
pp. 117
Author(s):  
Chul-Hyun Cho ◽  
Kwang-Yeung Jeong ◽  
Beom-Soo Kim
Keyword(s):  
Shaft Fractures ◽  
Dual Plating ◽  
Distal Shaft

Bicondylar Fractures of the Proximal Phalanx

1986 ◽  
pp. 99-101
Author(s):  
Alan E. Freeland ◽  
Michael E. Jabaley ◽  
James L. Hughes
Keyword(s):  
Proximal Phalanx ◽  
Bicondylar Fractures

scholarly journals Study of clinical outcome in intra articular distal humerus fractures treated with dual plating

2017 ◽  
Vol 5 (6) ◽  
pp. 2438
Author(s):  
Riyaz B. Shaik ◽  
Venugopala Reddy P. ◽  
Ashok Naidu K.
Keyword(s):  
Clinical Outcome ◽  
Road Traffic ◽  
Distal Humerus ◽  
Complex Nature ◽  
Lateral Column ◽  
Dual Plating ◽  
Surgical Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
Fracture Humerus

Background: In adults, distal humerus fractures are uncommon and intra-articular, oftenly involve both the medial and lateral columns. Open reduction and surgical fixation with plating gives good results. The aim of this study is to evaluate clinical outcome in intra articular distal humerus fractures treated with dual plating.Methods: This is a prospective type of study of 20 cases of supra condylar fracture humerus with inter condylar extension treated surgically with dual plating one on the medial boarder and another on posterior surface of lateral column using standard dorsal approach, olecranon osteotomy.Results: The range of age was between 18-52 years, with mean age of 32.55 years. The maximum incidence was between 18 to 40 years i.e. 16 cases (80%). With road traffic accident (RTA) as major cause of injury. Most   of the patients were males 14 (70%) with right upper limb was involved in 12 (60%) cases. According   to MEP score clinical outcome was excellent in 4(20%) good in 10(50%) fair in 5(25%) and poor in one (10%).Conclusions: Distal humerus fractures are known for their complex nature and technical difficult in surgical management. Proper anatomical articular reconstruction and stable fixation helps in restoring painless and functional elbow.

scholarly journals Variables affecting complication rates in type III paediatric supracondylar humerus fractures

2021 ◽  
pp. 1-8
Author(s):  
Andrew T. Livermore ◽  
Jason M. Sansone ◽  
Maxwell Machurick ◽  
Paul Whiting ◽  
Scott B. Hetzel ◽  
...  
Keyword(s):  
Fellowship Training ◽  
Rotational Instability ◽  
Complication Rates ◽  
Posterior Displacement ◽  
Type Iii ◽  
Radiographic Outcomes ◽  
Supracondylar Humerus Fractures ◽  
The Impact ◽  
Pin Configuration ◽  
Lateral Fixation

Purpose Unstable supracondylar humerus (SCH) fractures may have different outcomes as a result of direction of displacement and pin configuration. This study evaluates the impact of fracture displacement, pin configuration and fellowship training on clinical and radiographic outcomes in unstable fractures. Methods A total of 99 patients with completely displaced type III fractures were identified at an academic centre and a local community hospital. Patient characteristics and the fellowship training of the treating surgeon were recorded, and injury films documented the direction of displacement. Pin configuration, coronal and sagittal alignment were recorded from postoperative radiographs and at healing. Radiographic outcomes including coronal, sagittal and rotational malunion as well as clinical complications were analyzed. Results Fractures with direct posterior displacement had a lower composite malunion rate compared with those with posterolateral (PL) or posteromedial (PM) displacement (6.9%, 36.4%, 29.2% respectively; p = 0.019). PM displacement had a higher rate of coronal malunion compared with PL (18.2% versus 0%; post hoc p = 0.024). All-lateral constructs resulted in more rotational malunions (20.9% versus 1.8%; p = 0.002) compared with crossed pinning. PL fractures treated with all-lateral fixation showed a trend toward increased rotational instability or malunion (23.8% versus 1.3%; p = 0.073). Higher composite complication rates were noted in patients treated by surgeons with non-paediatric, non-trauma fellowship training. Conclusion For displaced SCH fractures, all-lateral fixation is associated with higher rates of rotational instability and malunion. Posteromedially and posterolaterally displaced fractures have higher rates of malunion compared with fractures with straight posterior displacement. Fellowship training other than paediatric or trauma was associated with increased complications. Level of Evidence Level III

scholarly journals Early functional outcome of intercondylar humerus fractures fixed with precontoured dual plating in inverted Y-Fashion

2018 ◽  
Vol 4 (2) ◽  
pp. 75-82
Author(s):  
Dr. Niravkumar Moradiya ◽  
◽  
Dr. Neel Shah ◽  
Dr. Parth Joshi ◽  
Dr. Poojan Joshi ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Early Functional Outcome ◽  
Dual Plating ◽  
Humerus Fractures
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