Knee Surg Relat Res.  2013 Jun;25(2):77-83. 10.5792/ksrr.2013.25.2.77.

Treatment of Schatzker Type V and VI Tibial Plateau Fractures Using a Midline Longitudinal Incision and Dual Plating

• Cho KY
• Oh HS
• Yoo JH
• Kim DH
• Cho YJ
• Kim KI

• KMID: 2094246
• DOI: http://doi.org/10.5792/ksrr.2013.25.2.77

Abstract

PURPOSE
The purpose of this study was to evaluate the results of the treatment of Schatzker type V and VI tibial plateau fractures using a midline longitudinal incision and dual-plate fixation.
MATERIALS AND METHODS
Ten patients with Schatzker type V and VI tibial plateau fractures treated with a midline longitudinal incision and dual plating were analyzed. The patients were followed for a minimum of one year. Clinical outcomes were evaluated using range of motion, visual analogue scale (VAS) and Knee Society Score. Radiological outcomes were evaluated using the bony union time, medial proximal tibial angle (MPTA) and posterior proximal tibial angle (PPTA).
RESULTS
The mean VAS score was 2.2 points, and the mean Knee Society function score was 85 points at the final follow-up. The mean flexion contracture was 2.5degrees and the mean further flexion was 125degrees. It took an average of 4 months until bony union occurred. The mean MPTA and PPTA were 90.5degrees and 4.4degrees, respectively. There was one case of delayed wound healing, but no other complications were observed.
CONCLUSIONS
The treatment of Schatzker type V and VI tibial plateau fractures with a midline longitudinal incision and dual-plate fixation resulted in satisfactory clinical and radiological outcomes. This can be an option when treating Schatzker type V and VI tibial plateau fractures.

Keyword

Tibial plateau fracture; Schatzker type V; Schatzker type VI; Midline longitudinal incision; Dual-plate fixation

MeSH Terms

Contracture
Follow-Up Studies
Humans
Knee
Quaternary Ammonium Compounds
Range of Motion, Articular
Wound Healing
Quaternary Ammonium Compounds