Efficacy of Lateral Locked Plate in Treatment of Simple Bicondylar Tibial Plateau Fractures

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Salem Hussein ◽  
Ali Elalfy ◽  
Reda Elkady ◽  
Mohamed Sebai
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Locked Plate ◽  
Bicondylar Tibial Plateau

scholarly journals Single lateral locked plate can be an effective implant in providing fracture stabilization of bicondylar tibial plateau fractures

2018 ◽  
Vol 1 (3) ◽  
pp. 01-05
Author(s):  
Jacob Matthew
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
P Value ◽  
Knee Score ◽  
Locked Plate ◽  
Fracture Stabilization ◽  
The Mean ◽  
Bicondylar Tibial Plateau ◽  
Double Plating

Background: Bicondylar tibial plateau fractures present a therapeutic challenge to the orthopaedic trauma surgeon, both in terms of the osseous injury as well as the concomitant soft-tissue insult. Double Plating with single incision or dual incisions provide more insult to the compromised soft tissue. However, single locking plate combines the technical advantages of an angular stable plate with those of the modern biological plating technique. Methods: The Study was held at Razi Orthopedic hospital in Kuwait. Between May 2012 and November 2013, 20 patients with a mean age of 37.65 years (Range from 24– 57 years) with bicondylar tibial plateau fractures with or without metaphyseal extension. Patients were diagnosed clinically, checked with standard X-rays, CT was done for all cases. Patients were treated by single lateral anatomically contoured locked plate through LISS or Polyaxial locking plate systems with or without additional screws from medial side. Radiological evaluation and functional assessment was done according to the Rasmussen Knee score. Patients were followed-up for an average of 12 months. Results: Union was achieved in all patients with a mean knee range of motion of 1.5°-130° (range: 0°-10° for extension lag, range: 100°-135° for flexion). The mean Functional Rasmussen Knee score at 6 month follow up (25.32±1.53 SD) ranged from (23.0-28.0). The mean Functional Rasmussen Knee score at last follow-up was (28.33±1.57 SD) ranged between (25.0-30.0) with significant P value (P value<0.001). The mean Anatomical Rasmussen Knee score at 6 month follow up (16.11±1.56 SD) ranged from (14.0-18.0). The mean Anatomical Rasmussen Knee score at last follow-up was (16.67±1.37 SD) ranged from (14.0-18.0) with insignificant P value (P value 0.096 ). Of the 20 patients, one patient had wound related problems, one patient had preoperative compartment syndrome, one patient suffered from hardware irritation and one patient had fixation failure upon which revision with double plating done for him. Conclusions: Surgical treatment of bicondylar tibial plateau fractures with the single lateral locked plate that was evaluated in our study can lead to a good functional and anatomical outcome and considered an effective system for providing fracture stabilization provided that the correct surgical technique is used. Awareness of potential hardware complications is essential.

scholarly journals A clinico-radiological study of bicondylar tibial plateau fractures managed with dual locking plates

2021 ◽  
pp. 101563
Author(s):  
Virender Kumar ◽  
Mamta Singhroha ◽  
Kunal Arora ◽  
Ankur Sahu ◽  
Rajpal Beniwal ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Locking Plates ◽  
Radiological Study ◽  
Bicondylar Tibial Plateau

Bicondylar Tibial Plateau Fractures Treated with a Hybrid Ring External Fixator: A Preliminary Study

1994 ◽  
Vol 8 (6) ◽  
pp. 455-461
Author(s):  
David T. Stamer ◽  
Richard Schenk ◽  
Buel Staggers ◽  
Kevin Aurori ◽  
Brian Aurori ◽  
...  
Keyword(s):  
External Fixator ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Preliminary Study ◽  
Ring External Fixator ◽  
Bicondylar Tibial Plateau ◽  
Hybrid Ring

Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures

2019 ◽  
Vol 33 (05) ◽  
pp. 481-485 ◽  
Author(s):  
Anthony V. Christiano ◽  
Christian A. Pean ◽  
David N. Kugelman ◽  
Sanjit R. Konda ◽  
Kenneth A. Egol
Keyword(s):  
Range Of Motion ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Lateral Tibial Plateau ◽  
Post Hoc Analysis ◽  
Time Points ◽  
Significant Difference ◽  
Friedman's Test ◽  
Post Hoc ◽  
Bicondylar Tibial Plateau

AbstractThe purpose of this study is to determine when functional outcome no longer improves following tibial plateau fracture. A patient series of operatively treated tibial plateau fractures was reviewed. Patients were evaluated using the short musculoskeletal function assessment (SMFA), range of motion (ROM) assessment, and pain levels at visual analog scale (VAS) at 3, 6, and 12 months postoperatively. Fractures were classified by the Schatzker's classification using preoperative imaging. The case series was divided into two groups based on fracture patterns. Friedman's tests were conducted to determine if there were differences in SMFA, ROM, or VAS throughout the postoperative course. A total of 117 patients with tibial plateau fractures treated operatively, with complete follow-up and without complication, were identified. Seventy-seven patients (65.8%) sustained lateral tibial plateau fractures (Schatzker's I–III). Friedman's test demonstrated significant differences in SMFA (p < 0.0005) and ROM (p < 0.0005) at the three time points. Post hoc analysis demonstrated a significant difference in SMFA (p < 0.0005) and ROM (p = 0.003) between 3 and 6 months postoperatively but no significant difference in either metric between 6 and 12 months postoperatively. Friedman's test demonstrated no significant difference in VAS postoperatively (p = 0.210). Forty patients (34.2%) sustained medial or bicondylar tibial plateau fractures (Schatzker's IV–VI). Friedman's test demonstrated significant differences in SMFA (p < 0.0005) and ROM (p < 0.0005) at the three time points. Post hoc analysis demonstrated a strong trend toward significance in SMFA between 3 and 6 months postoperatively (p = 0.088), and demonstrated a significant difference between 6 and 12 months postoperatively (p = 0.013). ROM was found to be significantly different between 3 and 6 months postoperatively (p = 0.010), but no difference was found between 6 and 12 months postoperatively (p = 0.929). Friedman's test demonstrated no significant difference in VAS postoperatively (p = 0.941). In this cohort, no significant difference in function, ROM, or pain level exists between 6 and 12 months after treatment of lateral tibial plateau fractures. However, there are significant improvements in function for at least 1 year following medial or bicondylar tibial plateau fractures.

scholarly journals Is Early Definitive Fixation of Bicondylar Tibial Plateau Fractures Safe? An Observational Cohort Study

2017 ◽  
Vol 31 (3) ◽  
pp. 151-157 ◽  
Author(s):  
Florence Unno ◽  
Kelly A. Lefaivre ◽  
Georg Osterhoff ◽  
Pierre Guy ◽  
Henry M. Broekhuyse ◽  
...  
Keyword(s):  
Cohort Study ◽  
Tibial Plateau ◽  
Observational Cohort Study ◽  
Tibial Plateau Fractures ◽  
Observational Cohort ◽  
Bicondylar Tibial Plateau
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