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Treatment of bicondylar tibial plateau fractures by single lateral locked plate

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Orthopedic Surgery

Advisors

El-Gamal, Hasan , Authman, Sherif A. , Abou-Senna, Wesam G.

Authors

Ebrahim, Ahmad Hasan El-Banna

Accessioned

2017-07-12 06:41:20

Available

2017-07-12 06:41:20

type

M.D. Thesis

Abstract

Introduction: 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.Hypothesis: Bicondylar Tibial Plateau Fractures can be effectively managed using a single lateral locking plate.Materials and methods: Between May 2012 and November 2013, 20 patients with a mean age of 38 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 last follow-up was 94.7% ranged between (83.3%–100%). The mean Anatomical Rasmussen Knee score at last follow-up was 92.2% ranged between (77.7%–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). Mean Anatomical Rasmussen Knee score of patients had (Schatzker V fractures) was 93.8%, however it was 90.3% in those had (Schatzker VI fractures). Of the 20 cases, 2 had wound related problems, 1 case suffered from preoperative proneal nerve palsy, 1 cases had preoperative compartment syndrome, 1 case had fixation failure and one patient suffered from hardware irritation.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. Awareness of potential hardware complications is essential.

Issued

1 Jan 2014

DOI

http://dx.doi.org/10.21473/iknito-space/36527

Details

Type

Thesis

Created At

28 Jan 2023