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

Affiliations
  • 1Department of Orthopedics and Traumatology, Mardin State Hospital, Mardin, Turkey.
  • 2Department of Orthopedics and Traumatology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey. cemil.kayali@sbu.edu.tr
  • 3Department of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Kayseri, Turkey.

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

  • 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.

  • 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.


Reference

1. Chang H, Zhu Y, Zheng Z, et al. Meta-analysis shows that highly comminuted bicondylar tibial plateau fractures treated by single lateral locking plate give similar outcomes as dual plate fixation. Int Orthop. 2016; 40(10):2129–2141. PMID: 27008456.
Article
2. Manidakis N, Dosani A, Dimitriou R, Stengel D, Matthews S, Giannoudis P. Tibial plateau fractures: functional outcome and incidence of osteoarthritis in 125 cases. Int Orthop. 2010; 34(4):565–570. PMID: 19440710.
Article
3. Watson JT. Tibia: proximal. In : Ruedi TP, Murphy WM, editors. AO principles of fracture management. Stuttgart: Thieme;2000. p. 499–517.
4. Lee TC, Huang HT, Lin YC, Chen CH, Cheng YM, Chen JC. Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating. Kaohsiung J Med Sci. 2013; 29(10):568–577. PMID: 24099112.
Article
5. Luo CF, Sun H, Zhang B, Zeng BF. Three-column fixation for complex tibial plateau fractures. J Orthop Trauma. 2010; 24(11):683–692. PMID: 20881634.
Article
6. Nikolaou VS, Tan HB, Haidukewych G, Kanakaris N, Giannoudis PV. Proximal tibial fractures: early experience using polyaxial locking-plate technology. Int Orthop. 2011; 35(8):1215–1221. PMID: 21107983.
Article
7. Canadian Orthopaedic Trauma Society. Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures: results of a multicenter, prospective, randomized clinical trial. J Bone Joint Surg Am. 2006; 88(12):2613–2623. PMID: 17142411.
8. Moore TM, Patzakis MJ, Harvey JP. Tibial plateau fractures: definition, demographics, treatment rationale, and long-term results of closed traction management or operative reduction. J Orthop Trauma. 1987; 1(2):97–119. PMID: 3333518.
9. Yao Y, Lv H, Zan J, et al. A comparison of lateral fixation versus dual plating for simple bicondylar fractures. Knee. 2015; 22(3):225–229. PMID: 25747747.
Article
10. Mueller KL, Karunakar MA, Frankenburg EP, Scott DS. Bicondylar tibial plateau fractures: a biomechanical study. Clin Orthop Relat Res. 2003; (412):189–195.
Article
11. Jiang R, Luo CF, Wang MC, Yang TY, Zeng BF. A comparative study of Less Invasive Stabilization System (LISS) fixation and two-incision double plating for the treatment of bicondylar tibial plateau fractures. Knee. 2008; 15(2):139–143. PMID: 18215801.
Article
12. Weaver MJ, Harris MB, Strom AC, et al. Fracture pattern and fixation type related to loss of reduction in bicondylar tibial plateau fractures. Injury. 2012; 43(6):864–869. PMID: 22169068.
Article
13. Egol KA, Su E, Tejwani NC, Sims SH, Kummer FJ, Koval KJ. Treatment of complex tibial plateau fractures using the less invasive stabilization system plate: clinical experience and a laboratory comparison with double plating. J Trauma. 2004; 57(2):340–346. PMID: 15345983.
Article
14. Lee MH, Hsu CJ, Lin KC, Renn JH. Comparison of outcome of unilateral locking plate and dual plating in the treatment of bicondylar tibial plateau fractures. J Orthop Surg Res. 2014; 9:62. PMID: 25038620.
Article
15. Neogi DS, Trikha V, Mishra KK, Bandekar SM, Yadav CS. Comparative study of single lateral locked plating versus double plating in type C bicondylar tibial plateau fractures. Indian J Orthop. 2015; 49(2):193–198. PMID: 26015609.
Article
16. Horwitz DS, Bachus KN, Craig MA, Peters CL. A biomechanical analysis of internal fixation of complex tibial plateau fractures. J Orthop Trauma. 1999; 13(8):545–549. PMID: 10714780.
Article
17. Gosling T, Schandelmaier P, Marti A, Hufner T, Partenheimer A, Krettek C. Less invasive stabilization of complex tibial plateau fractures: a biomechanical evaluation of a unilateral locked screw plate and double plating. J Orthop Trauma. 2004; 18(8):546–551. PMID: 15475851.
18. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989; (248):13–14. PMID: 2805470.
Article
19. Rasmussen PS. Tibial condylar fractures: impairment of knee joint stability as an indication for surgical treatment. J Bone Joint Surg Am. 1973; 55(7):1331–1350. PMID: 4586086.
20. Whelan DB, Bhandari M, McKee MD, et al. Interobserver and intraobserver variation in the assessment of the healing of tibial fractures after intramedullary fixation. J Bone Joint Surg Br. 2002; 84(1):15–18. PMID: 11837825.
Article
21. Ariffin HM, Mahdi NM, Rhani SA, Baharudin A, Shukur MH. Modified hybrid fixator for high-energy Schatzker V and VI tibial plateau fractures. Strategies Trauma Limb Reconstr. 2011; 6(1):21–26. PMID: 21589678.
Article
22. El-Gafary K, El-adly W, Farouk O, Khaled M, Abdelaziz MM. Management of high-energy tibial plateau fractures by Ilizarov external fixator. Eur Orthop Traumatol. 2014; 5(1):9–14.
Article
23. Musahl V, Tarkin I, Kobbe P, Tzioupis C, Siska PA, Pape HC. New trends and techniques in open reduction and internal fixation of fractures of the tibial plateau. J Bone Joint Surg Br. 2009; 91(4):426–433. PMID: 19336799.
Article
24. Barei DP, O'Mara TJ, Taitsman LA, Dunbar RP, Nork SE. Frequency and fracture morphology of the posteromedial fragment in bicondylar tibial plateau fracture patterns. J Orthop Trauma. 2008; 22(3):176–182. PMID: 18317051.
Article
25. Higgins TF, Klatt J, Bachus KN. Biomechanical analysis of bicondylar tibial plateau fixation: how does lateral locking plate fixation compare to dual plate fixation? J Orthop Trauma. 2007; 21(5):301–306. PMID: 17485994.
Article
26. Yoo BJ, Beingessner DM, Barei DP. Stabilization of the posteromedial fragment in bicondylar tibial plateau fractures: a mechanical comparison of locking and nonlocking single and dual plating methods. J Trauma. 2010; 69(1):148–155. PMID: 20622588.
Article
27. Phisitkul P, McKinley TO, Nepola JV, Marsh JL. Complications of locking plate fixation in complex proximal tibia injuries. J Orthop Trauma. 2007; 21(2):83–91. PMID: 17304060.
Article
28. Egol KA, Tejwani NC, Capla EL, Wolinsky PL, Koval KJ. Staged management of high-energy proximal tibia fractures (OTA types 41): the results of a prospective, standardized protocol. J Orthop Trauma. 2005; 19(7):448–455. PMID: 16056075.
29. Spagnolo R, Pace F. Management of the Schatzker VI fractures with lateral locked screw plating. Musculoskelet Surg. 2012; 96(2):75–80. PMID: 22120784.
Article
30. Kayali C, Citak C, Altay T, Kement Z. Subchondral raft construction with locking plates for the treatment of Schatzker type II fractures. Acta Ortop Bras. 2017; 25(3):99–102.
Full Text Links
  • CIOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr