Treatment of Bicondyler Tibial Plateau Fracture by Single Lateral Locked Plate | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 30, Volume 75, Issue 5, April 2019, Page 2942-2951 PDF (569.58 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.33736 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Badawy; Hesham Safwat; Mohamed El-Sheshtawy El-Saedi 
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| Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University | ||||
| 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. | ||||
| Keywords | ||||
| Tibial plateau fracture; Locked plate; LISS; Polyaxial locking plate | ||||
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