scholarly journals Surgical outcome of tibial plateau fracture using minimally invasive technique with locking compression plate

2017 ◽  
Vol 3 (4k) ◽  
pp. 780-786
Author(s):  
Dr. Vishwanath C ◽  
Dr. Sushanth B Mummigatti
Keyword(s):  
Minimally Invasive ◽  
Surgical Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Locking Compression Plate ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Compression Plate ◽  
Plateau Fracture

scholarly journals Surgical Management of Tibial Plateau Fractures with Locking Compression Plate

2021 ◽  
Vol 9 (01) ◽  
pp. 18-23
Author(s):  
Bipan Shrestha ◽  
Prakriti Raj Kandel ◽  
Kishor Man Shrestha ◽  
Shreshal Shrestha ◽  
Rakesh Yadav
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Treatment Options ◽  
Locking Compression Plate ◽  
Tibial Plateau Fractures ◽  
Institutional Review ◽  
Schatzker Type ◽  
Compression Plate ◽  
Plateau Fracture ◽  
The Mean

  INTRODUCTION Tibial plateau fracture is a common fracture that accounts for 1-2% of all fracture. Various treatment options including proximal tibial plating with locking compression plates are available for the treatment of tibial plateau fracture. This study was done to determine the clinical profile and functional outcome of tibial plateau fracture following locking compression plating.   MATERIAL AND METHODS This prospective and observational study was carried out in Orthopedics Department of Universal College of Medical Sciences-Teaching Hospital (UCMS-TH) from December 2018 to July 2020. After Ethical clearance (UCMS/IRC/224/18) from Institutional Review Board (IRB) of UCMS-TH and informed written consent, all patients with tibial plateau fracture (Schatzker II-VI) who fulfilled the inclusion criteria were enrolled in the study and treated with locking compression plate. Post-operatively patients were regularly followed at 6 weeks, 3 months and 6 months for clinical, radiological and functional assessment. Descriptive statistics like frequency, percentage, mean and standard deviation were used to analyze the data.   RESULTS In our study of 30 cases, the mean age was 37.77 ±15.65 years. Most of the cases were Schatzker type VI (13 patients) and type II (9 patients). The average duration for fractures union was 23.4 ±2.1 weeks. Superficial wound infection was the common complication seen in five cases. At six months, the mean knee society score (KSS) was 78 ±7.22 and majority of patients (19 patients) had good results.   CONCLUSION Locking compression plate has an excellent functional and radiological outcome. It is an effective implant that can be adopted for the treatment of tibial plateau fractures in adults.  

scholarly journals Plate-screw and screw-washer stability in a Schatzker type-I lateral tibial plateau fracture: a comparative biomechanical study

2020 ◽  
Vol 47 ◽  
Author(s):  
VINCENZO GIORDANO ◽  
WILLIAM DIAS BELANGERO ◽  
BRENNO DE ARAÚJO SÁ ◽  
DANIELA RIVAS ◽  
DANILO SOUTO ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Dynamic Compression ◽  
Type I ◽  
Small Fragment ◽  
Dynamic Compression Plate ◽  
Cortical Screw ◽  
Schatzker Type ◽  
Compression Plate ◽  
Plateau Fracture

ABSTRACT The aim of this study was to evaluate the biomechanical role of both a non-locking two-hole small fragment dynamic compression plate with 3.5-mm screws and a 4.5-mm cortical screw with a washer applied to a Schatzker type-I tibial plateau fracture. Sixteen right synthetic tibiae were used to create an anterolateral shear tibial plateau fracture (Schatzker type-I fracture). Eight models were fixed with a small fragment non-locked straight dynamic compression plate with one 3.5-mm bicortical screw (plate-screw construction) and eight models were fixed with a 4.5-mm cortical screw and a washer (screw-washer construction), both inserted at 1.0 mm distal to the apex of the fracture. Specimens were tested up to the onset of yielding at a constant strain rate of 5.0-mm/min. Stiffness ranged from 311.83 N/mm to 199.54 N/mm, with a mean + SD of 260.32 + 33.8 N/mm in the plate-screw construction, and from 290.34 N/mm to 99.16 N/mm, with a mean + SD of 220.46 + 63.12 N/mm in screw-washer construction. There was no significant difference (p=0.172). Use of a two-hole small-fragment non-locked plate with one 3.5-mm cortical screw or a 4.5-mm cortical screw with a washer applied at 1.0 mm distal to the apex of the fracture as buttressing present similar stiffness in terms of preventing axial displacement in synthetic tibiae models tested up to the onset of yielding.

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