scholarly journals A study on clinical, functional and radiological outcome of high velocity tibial plateau fractures managed by dual plating

2018 ◽  
Vol 4 (1m) ◽  
pp. 873-877
Author(s):  
Dr. S Prabhakar ◽  
Dr. R Manoj Kumar ◽  
Dr. Kathir Azhagan
Keyword(s):  
High Velocity ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Radiological Outcome ◽  
Dual Plating

scholarly journals The Mid-Term Radiological and Functional Outcomes of Bicondylar Tibial Plateau Fractures Managed with Open Reduction and Internal Fixation Using Dual Plates

2021 ◽  
Author(s):  
Angelo V. Vasiliadis ◽  
Frideriki Poutoglidou ◽  
Dimitrios Metaxiotis ◽  
Anastasios Mpeletsiotis
Keyword(s):  
Internal Fixation ◽  
Functional Outcomes ◽  
Open Reduction ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Radiological Outcome ◽  
Schatzker Type ◽  
Dual Plating ◽  
Type V ◽  
Bicondylar Tibial Plateau

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

scholarly journals Dual plate osteosynthesis in bicondylar tibial plateau fractures-case series

2021 ◽  
Vol 7 (4) ◽  
pp. 848
Author(s):  
Shreekantha Koteshwara Surendra Rao ◽  
Mahammad Aseem Mahammadgous Mulla ◽  
Deepak Malik ◽  
Mohammed Usman
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Open Reduction ◽  
Tibial Plateau ◽  
Plate Osteosynthesis ◽  
Tibial Plateau Fractures ◽  
Radiological Outcome ◽  
Articular Fractures ◽  
Dual Plating ◽  
Dual Plate

<p>Tibial plateau fractures accounts for about 1% of injuries. Various mechanisms have been described, resulting in milder form to serious injuries depending upon force of impact.  High velocity injuries resulted from valgus or varus impacted forces combined with axial loading such as in Schatzker type 6. The ideal method of treatment for these fractures is always a matter of debate. As all intra-articular fractures necessitate anatomic reduction of the articular surface, restoration of axial alignment, and stable fixation, which can be achieved very well by open reduction and internal fixation (ORIF) with dual plating. To study the functional and radiological outcome of Tibial plateau fractures treated surgically with dual plate osteosynthesis. 15 patients in the age group 18-60 were included. Rasmussens criteria was used to assess the functional and radiological outcomes with follow up period of 1 year prospectively. The outcome assessment using Rasmussens score concluded good results. The average duration for union was ­6 months. ROM achieved in these patients were to be at least 124 degrees. The infection rate in this study was accounted as 13.3%. Open reduction and internal fixation of tibial plateau fractures, by dual plating has good functional and radiological outcome. This is an effective method of treatment even with moderate soft tissue injury if meticulous surgical technique, appropriate soft tissue handling and adequate healing period given. All these have shown to decrease the postoperative complications such as infection.</p>

scholarly journals Bone metabolism is a key factor for clinical outcome of tibial plateau fractures

2020 ◽  
Vol 46 (6) ◽  
pp. 1227-1237 ◽  
Author(s):  
Matthias Krause ◽  
◽  
Lena Alm ◽  
Markus Berninger ◽  
Christoph Domnick ◽  
...  
Keyword(s):  
Risk Factor ◽  
Clinical Outcome ◽  
Bone Metabolism ◽  
Independent Risk Factor ◽  
Tibial Plateau ◽  
Limited Range ◽  
Tibial Plateau Fractures ◽  
Radiological Outcome ◽  
Multicenter Cohort Study ◽  
Limited Range Of Motion

Abstract Purpose Given that tibial plateau fractures (TPF) are rare, they may pose a challenge to the treating surgeon due to their variety of complex fracture patterns. Numerous studies have identified potential fracture-specific, surgery-related, and patient-related risk factors for impaired patient outcomes. However, reports on the influence of bone metabolism on functional outcomes are missing. Methods In a retrospective multicenter cohort study, 122 TPF of 121 patients were analyzed with respect to radiological and clinical outcomes (Rasmussen) with a mean follow-up of 35.7 ± 24.9 months. The risk factor assessment included bone metabolism-affecting comorbidities and medication. Results The findings showed that 95.9% of the patients reported a good-to-excellent clinical outcome, and 97.4% reported a good-to-excellent radiological outcome. Logistic regression revealed that potentially impaired bone metabolism (IBM) was an independent risk factor for the clinical (p = 0.016) but not the radiological outcome (Table 4). Patients with 41-type B fractures and a potential IBM had a seven times higher risk to present a fair-to-poor clinical outcome [OR 7.45, 95 CI (4.30, 12.92)]. The most common objective impairment was a limited range of motion in 16.4% of the patients, especially in 41-type C fractures (p = 0.06). The individual failure analysis additionally identified surgery-related options for improvement. Conclusion This study demonstrated that potential IBM was an independent risk factor for a poor-to-fair clinical outcome.

scholarly journals Treatment of Schatzker Type V and VI Tibial Plateau Fractures Using a Midline Longitudinal Incision and Dual Plating

2013 ◽  
Vol 25 (2) ◽  
pp. 77-83 ◽  
Author(s):  
Kye-Youl Cho ◽  
Hyun-Sup Oh ◽  
Jae-Ho Yoo ◽  
Duk-Hyun Kim ◽  
Young-Joo Cho ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Longitudinal Incision ◽  
Schatzker Type ◽  
Dual Plating ◽  
Type V

scholarly journals Functional outcome of closed complex tibial plateau fractures treated using dual plating

2020 ◽  
Vol 6 (4) ◽  
pp. 943-948
Author(s):  
Yash Parikh ◽  
Tejas Patil ◽  
Sunil Kulkarni ◽  
Nikhil Lambat ◽  
Shrinivas Jadhav ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Dual Plating

scholarly journals Unusual medial tibial plateau fracture fixation using dual plating

2019 ◽  
Vol 5 (6) ◽  
pp. 1113
Author(s):  
Shradha Bora S. ◽  
Senthil L. ◽  
Thiyagarajan U. ◽  
Pradeep J. P. ◽  
Gokul Raj D.
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Articular Surface ◽  
Oxford Knee Score ◽  
Tibial Plateau Fractures ◽  
Medial Tibial Plateau ◽  
Proximal Tibial Fractures ◽  
Dual Plating ◽  
Plateau Fracture ◽  
Safe Technique

<p class="abstract"><strong>Background:</strong> Medial tibial plateau fractures is a subtype of proximal tibial fractures that involve the articular surface and can present in several distinct patterns. Purpose of this study was to assess the clinical outcome of stabilizing these biplanar medial tibial plateau fractures using dual plating technique through a single incision.</p><p class="abstract"><strong>Methods:</strong> Between 2017 to 2019, 12 men and 8 women with closed medial tibial plateau fracture who underwent reconstruction using two plates through a posteromedial approach were included in the study group. The fractures were classified using the three column concept of Lou.<strong></strong></p><p class="abstract"><strong>Results:</strong> One patient had an articular step off that was unacceptable and two patients had an acceptable articular step off. Functional assessment was done using the objective scoring of Oxford knee score criteria and radiological assessment was done using the Rasmussen modified score.</p><p class="abstract"><strong>Conclusions:</strong> Biplanar reconstruction using dual plates is a reliable and safe technique to reconstruct complex medial tibial plateau fractures.</p>

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