scholarly journals Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Zhongzheng Wang ◽  
Yuchuan Wang ◽  
Siyu Tian ◽  
Zhanchao Tan ◽  
Xiangtian Deng ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Reduction Rate ◽  
Tibial Plateau Fractures ◽  
Secondary Loss ◽  
Loss Of Reduction ◽  
Dual Plating ◽  
Group 2 ◽  
Hss Score ◽  
Bicondylar Tibial Plateau ◽  
Group 1

AbstractThe aim of this study was to compare secondary loss of reduction outcomes in dual plating fixation and dual plating combined with compression bolt fixation for bicondylar tibial plateau fractures (TPFs). We performed a retrospective study from January 2015 to April 2019. A consecutive series of 72 bicondylar TPFs underwent surgical treatment and was divided into two groups: group 1 (dual plating, n = 46) and group 2 (dual plating combined with compression bolts, n = 26). The outcomes collected included demographic characteristics, imaging characteristics, intraoperative indicators, clinical outcomes and reduction quality after surgery. Functional outcome was rated according to the Hospital for Special Surgery (HSS) score and Lysholm score. The secondary loss of reduction rate in group 2 was reduced compared with that in group 1 (P = 0.025), and the mean HSS score of group 2 was higher than that of group 1 (P = 0.013). The rate of complications was 30.4% (14/46) in group 1 and 30.8% (8/26) in group 2 (P = 0.976). Compared with single dual plating fixation, dual plating combined with compressing bolt fixation reduced the secondary loss of reduction rate for patients with bicondylar TPFs and showed better functional outcomes.

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 Prospective study of management of Schatzker’s type V & VI tibial plateau fractures by different types of plate osteosynthesis

2017 ◽  
Vol 3 (5) ◽  
pp. 1070
Author(s):  
Siddaram N. Patil ◽  
Pandurangaiah Srinivas ◽  
Divya Bhandary
Keyword(s):  
Prospective Study ◽  
Tibial Plateau ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Tibial Plateau Fractures ◽  
Dual Plating ◽  
Different Types ◽  
Dual Incision ◽  
Type V ◽  
Hss Score

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Schatzker‘s type V and type VI fractures are bicondylar tibial plateau fractures which pose a challenge to the treating orthopaedician. Several studies have compared unilateral locked plate and double plating for their treatment and showed no statistically significant difference between these two fixation methods. So the quest for ideal implant for internal fixation (unilateral plating and dual plating) of these fractures continues. Hence we decided to do this study.</span></p><p class="abstract"><strong>Methods:</strong> A prospective study of Surgical Management of thirty seven cases of Schatzker’s type V and VI tibial plateau fractures by different types of plate osteosynthesis (single unilateral locking plate and dual incision locking buttress plate) was carried out. The functional outcomes were assessed by the hospital for special surgery knee score system.<strong></strong></p><p class="abstract"><strong>Results:</strong> 18 patients were fixed with a unilateral locking plate, 19 patients were fixed with a dual incision bilateral locking plates. All patients had satisfactory articular surface reduction and axis of alignment on immediate postoperative radiographs. All cases achieved union by 4.8 months approximately. All patients had either excellent or good HSS score. Mean HSS score at recent follow-up was 86.10 in DP group and 83 in SP groups (t value 2.81, p values 0.008)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> We conclude that single plating and dual plating fixation of complex proximal tibial plateau fracture Schatzker‘s type 5 and type 6 ensures stable fixation, immediate mobilization, satisfactory radiological outcome, very high union rates and excellent functional assessment outcome with a very low rate of complications<span lang="EN-IN">.</span></p>

Fracture pattern and fixation type related to loss of reduction in bicondylar tibial plateau fractures

Injury ◽  
2012 ◽  
Vol 43 (6) ◽  
pp. 864-869 ◽  
Author(s):  
Michael J. Weaver ◽  
Mitchel B. Harris ◽  
Adam C. Strom ◽  
R. Malcolm Smith ◽  
David Lhowe ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Fracture Pattern ◽  
Tibial Plateau Fractures ◽  
Loss Of Reduction ◽  
Fixation Type ◽  
Bicondylar Tibial Plateau

scholarly journals Lateral Locked Plating or Dual Plating: A Comparison of Two Methods in Simple Bicondylar Tibial Plateau Fractures

2019 ◽  
Vol 11 (2) ◽  
pp. 151 ◽  
Author(s):  
Caner Citak ◽  
Cemil Kayali ◽  
Firat Ozan ◽  
Taskin Altay ◽  
Huseyin Gokhan Karahan ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Locked Plating ◽  
Dual Plating ◽  
Bicondylar Tibial Plateau

Complications of High-Energy Bicondylar Tibial Plateau Fractures Treated With Dual Plating Through 2 Incisions

2015 ◽  
Vol 29 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Michael R. Ruffolo ◽  
Franklin K. Gettys ◽  
Harvey E. Montijo ◽  
Rachel B. Seymour ◽  
Madhav A. Karunakar
Keyword(s):  
Tibial Plateau ◽  
High Energy ◽  
Tibial Plateau Fractures ◽  
Dual Plating ◽  
Bicondylar Tibial Plateau

Effect of bandaging on postoperative swelling after tibial plateau levelling osteotomy

2010 ◽  
Vol 23 (04) ◽  
pp. 240-244 ◽  
Author(s):  
J.K. Roush ◽  
K. L. Bilicki ◽  
G.Baker. Baker ◽  
M.D. Unis
Keyword(s):  
Tibial Plateau ◽  
Case Series ◽  
Small Animal ◽  
Significant Linear Correlation ◽  
Significant Difference ◽  
Group 2 ◽  
Prospective Case Series ◽  
Distal Aspect ◽  
Postoperative Swelling ◽  
Group 1

Summary Objective: To compare the effects of bandaging on immediate postoperative swelling using a modified Robert-Jones bandage after tibial plateau levelling osteotomy (TPLO) in dogs. Study design: Prospective case series. Methods: Dogs undergoing a TPLO were randomly placed into two groups. Group 1 received a modified Robert-Jones bandage postoperatively for a 24 hour period and Group 2 was not bandaged. Hindlimb circumference was measured at the level of the mid-patella, the distal aspect of the tibial crest, the midpoint of the tibial diaphysis and the hock. Measurements were recorded and compared in each group preoperatively and at 24 hours and 48 hours post-operatively. Interobserver variability was compared between the two observers. Results: There was no significant difference in postoperative swelling, as measured by the percentage change in circumference, between bandaged and unbandaged operated limbs after the TPLO at 24 and 48 hours at any site. Some significant differences in measurement at particular sites were observed between the two different observers, but there was a significant linear correlation at all sites between observers. The observer with the least experience consistently had slightly higher measurements at these sites. Clinical relevance: The use of a modified Robert-Jones bandage after TPLO did not prevent statistically significant postoperative swelling, and thus may not be indicated for this purpose. Postoperative bandages placed to control swelling after other small animal orthopaedic procedures should be evaluated individually for efficacy.

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