33736

Treatment of Bicondyler Tibial Plateau Fracture by Single Lateral Locked Plate

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Background : bicondylar tibial plateau fractures need surgical treatment to achieve good clinical results. The locking plate combines the technical advantages of an angular stable plate with those of the modern biological plating technique. Aim of the study: to verify management of bicondylar tibial plateau fractures by single lateral locked plate including patient selection, fracture type suitable for this kind of surgery, timing of surgery, operative technique, postoperative instructions and follow up. Patients and Methods: between January 2018 and February 2019, 20 patients with a mean age of 38 years (Range: 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. Results: the mean Functional Rasmussen Knee score at last follow-up was 94.7% ranged between 83.3% and 100%. The mean Anatomical Rasmussen Knee score at last follow-up was 92.2% ranged between 77.7% and 100%. Mean Functional Rasmussen Knee score of patients had (Schatzker V fractures) was 96%, however it was 82.5% in those had (Schatzker VI fractures). Conclusion: 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.

DOI

10.21608/ejhm.2019.33736

Keywords

Tibial plateau fracture, Locked plate, LISS, Polyaxial locking plate

Authors

First Name

Ahmed

Last Name

Badawy

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Hesham

Last Name

Safwat

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Mohamed El-Sheshtawy

Last Name

El-Saedi

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

Email

doc.mohamed.elsaedi@gmail.com

City

-

Orcid

-

Volume

75

Article Issue

5

Related Issue

5450

Issue Date

2019-04-01

Receive Date

2019-05-30

Publish Date

2019-04-01

Page Start

2,942

Page End

2,951

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_33736.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=33736

Order

30

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Treatment of Bicondyler Tibial Plateau Fracture by Single Lateral Locked Plate

Details

Type

Article

Created At

22 Jan 2023