Stabilization of the Posteromedial Fragment in Bicondylar Tibial Plateau Fractures: A Mechanical Comparison of Locking and Nonlocking Single and Dual Plating Methods

2010 ◽  
Vol 69 (1) ◽  
pp. 148-155 ◽  
Author(s):  
Brad J. Yoo ◽  
Daphne M. Beingessner ◽  
David P. Barei
Author(s):  
Angelo V. Vasiliadis ◽  
Frideriki Poutoglidou ◽  
Dimitrios Metaxiotis ◽  
Anastasios Mpeletsiotis

Objective: This study was designed to evaluate the mid-term radiological and functional outcome of tibial plateau fractures treated by plating. Methods: Patients with Schatzker type V and type VI tibial plateau fractures who were managed with open reduction and internal fixation using dual plates were included in this retrospective study. The functional evaluation of the patients was carried out with the visual analogue scale (VAS), the health-related quality of life status was measured using the Short Form-36 (SF-36) and the dimensions of pain, stiffness and function were assessed using the Western Ontario and McMaster Universities Arthritis Index (WOMAC). For the radiological outcome evaluation, the modified Rasmussen criteria were used. Results: 57 patients (30 male and 27 female) were included in the study with a mean follow-up of 50.88 months. There were 23 Schatzker type V and 34 Schatzker type VI fractures. The majority of patients (86%) had a good to excellent radiological outcome. The mean VAS score was 1.65 for all the patients. The functional outcome was excellent in the majority of the patients. Among them, 5.3% (n = 3) suffered wound infection and all of the wounds healed after different treatments. All patients returned to their pre-injury activities of daily living and employment status, while 53% of the patients returned to sporting activities. Conclusion: Our findings support previous literature, which has demonstrated that bicondylar tibial plateau fractures can provide good to excellent radiological and functional outcomes if they were treated with open reduction and internal fixation with dual plating. Keywords: tibial plateau fracture; bicondylar fracture; Schatzker classification; dual plating


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Zhongzheng Wang ◽  
Yuchuan Wang ◽  
Siyu Tian ◽  
Zhanchao Tan ◽  
Xiangtian Deng ◽  
...  

AbstractThe aim of this study was to compare secondary loss of reduction outcomes in dual plating fixation and dual plating combined with compression bolt fixation for bicondylar tibial plateau fractures (TPFs). We performed a retrospective study from January 2015 to April 2019. A consecutive series of 72 bicondylar TPFs underwent surgical treatment and was divided into two groups: group 1 (dual plating, n = 46) and group 2 (dual plating combined with compression bolts, n = 26). The outcomes collected included demographic characteristics, imaging characteristics, intraoperative indicators, clinical outcomes and reduction quality after surgery. Functional outcome was rated according to the Hospital for Special Surgery (HSS) score and Lysholm score. The secondary loss of reduction rate in group 2 was reduced compared with that in group 1 (P = 0.025), and the mean HSS score of group 2 was higher than that of group 1 (P = 0.013). The rate of complications was 30.4% (14/46) in group 1 and 30.8% (8/26) in group 2 (P = 0.976). Compared with single dual plating fixation, dual plating combined with compressing bolt fixation reduced the secondary loss of reduction rate for patients with bicondylar TPFs and showed better functional outcomes.


2019 ◽  
Vol 11 (2) ◽  
pp. 151 ◽  
Author(s):  
Caner Citak ◽  
Cemil Kayali ◽  
Firat Ozan ◽  
Taskin Altay ◽  
Huseyin Gokhan Karahan ◽  
...  

2015 ◽  
Vol 29 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Michael R. Ruffolo ◽  
Franklin K. Gettys ◽  
Harvey E. Montijo ◽  
Rachel B. Seymour ◽  
Madhav A. Karunakar

Author(s):  
Virender Kumar ◽  
Mamta Singhroha ◽  
Kunal Arora ◽  
Ankur Sahu ◽  
Rajpal Beniwal ◽  
...  

1994 ◽  
Vol 8 (6) ◽  
pp. 455-461
Author(s):  
David T. Stamer ◽  
Richard Schenk ◽  
Buel Staggers ◽  
Kevin Aurori ◽  
Brian Aurori ◽  
...  

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