Clin Orthop Surg.  2019 Jun;11(2):151-158. 10.4055/cios.2019.11.2.151.

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

• Citak C
• Kayali C
• Ozan F
• Altay T
• Karahan HG
• Yamak K

• KMID: 2445048
• DOI: http://doi.org/10.4055/cios.2019.11.2.151

Abstract

BACKGROUND
In this study, our aim was to compare the results of the dual locking plate fixation technique and lateral locking plate fixation technique for tibial bicondylar plateau fractures without posteromedial fragment.
METHODS
We evaluated 20 patients who underwent surgical treatment due to bicondylar tibial plateau fracture between 2010 and 2015. Ten patients were included in group 1, in which a dual locking plate was employed, whereas 10 patients were included in group 2, in which a lateral locking plate was used. In both groups, functional and clinical outcomes after treatment were rated according to the Knee Society Knee Scoring System, Rasmussen functional score, and Rasmussen radiological score.
RESULTS
The mean follow-up time was 24 months. There were no significant differences between the groups with respect to functional and radiographic outcomes at the final follow-up.
CONCLUSIONS
In bicondylar tibial plateau fractures without posteromedial fragment, the lateral locking plate fixation technique showed the similar clinical and radiological outcomes as the dual locking plate fixation technique.

Keyword

Bicondylar tibial plateau; Fracture; Locking plate fixation; Dual plate; Single plate

Figure

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  Fig. 1 (A) Preoperative radiograph showing left tibial plateau fracture in a 36-year-old male patient. (B, C) Radiographs taken 21 months after dual locking plate fixation.

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  Fig. 2 (A) Preoperative radiograph showing right tibial plateau fracture in a 36-year-old female patient. (B, C) Radiographs taken 14 months after lateral locking plate fixation.

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