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231450

Evaluation of Surgical Techniques in Management of Bicondylar Tibial Plateau Fractures

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Orthopedic

Abstract

Background: Tibial plateau fractures are one of the commonest intra-articular fractures resulting from indirect coronal or direct axial compressive forces. This study aimed to compare the functional outcome and the complication rate between Double-plate and single lateral locked in patients with bicondylar tibial plateau fractures. Patients and Methods: A prospective study was conducted in Zagazig university hospitals, in the period from August 2021 to February 2022, 18 patients complaining of tibial plateau fracture either Schatzker type V or VI were Included, divided into two groups; the Single lateral plate group which include nine patients. And the Double plate group which also included nine patients. Majority of the patients were males in both groups. The RTA was the leading cause of fracture in SLP group. While FFH was the most common cause of fracture in DP group. Anteroposterior and lateral radiographs of whole tibia from knee to ankle were obtained. CT scans were done for all cases to accurately delineate fracture type and extent, fragment size and location, the degree of articular depression or displacement. The clinical evaluation was based on Rasmussen scoring system with six months follow-up. Results: Rasmussen functional score showed significant improvement from the 1st month till the 6th month. There were no significant differences between the two methods with respect to functional and radiographic outcomes at the final follow-up. Also, both methods had no differences in complication rate. Conclusion: Both methods (single lateral plate and double plating) are effective methods for treatment of bicondylar tibial plateau fractures.

DOI

10.21608/zumj.2022.130789.2542

Keywords

Bicondylar tibial plateau, fracture, Locking plate fixation

Authors

First Name

Abdulmalik

Last Name

Elhadi

MiddleName

Mohammed

Affiliation

Orthopedic department, Faculty of medicine, Aljabal AlGharbi University- Libya.

Email

malikhosn@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Amin

MiddleName

-

Affiliation

Orthopedic department, Faculty of medicine, Zagazeg University, Egypt

Email

hashmdr@yahoo.com

City

-

Orcid

-

First Name

Amr

Last Name

Zanfaly

MiddleName

-

Affiliation

Orthopedic department, Faculty of medicine, Zagazeg University, Egypt

Email

amrzanfaly@yahoo.com

City

-

Orcid

-

First Name

Ehab

Last Name

Shehata

MiddleName

-

Affiliation

Orthopedic department, Faculty of medicine, Zagazeg University, Egypt

Email

ehabshehata1@gmail.com

City

Zagazig

Orcid

-

Volume

30

Article Issue

3

Related Issue

46681

Issue Date

2024-05-01

Receive Date

2022-04-11

Publish Date

2024-05-01

Page Start

803

Page End

812

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_231450.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=231450

Order

22

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Evaluation of Surgical Techniques in Management of Bicondylar Tibial Plateau Fractures

Details

Type

Article

Created At

30 Dec 2024