Volume : 7, Issue : 7, July - 2018

Outcome of Bicondylar Tibial Plateau Fractures Treated with Dual Plates Via a Two Incision Technique

Sanjeev Kumar Singhal, Rahul Agarwal, Siddharth Jauhar

Abstract :

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;background:white"><b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black;&#10;background:white">Objective:</span></b><span lang="EN-IN" style="font-size:12.0pt;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black;background:white">&nbsp;This study was done to evaluate the functional andradiological outcome and complications of Schatzker V and VI tibial plateau fractures treated with dual plating via a two incision technique with a regular follow-up of atleast 2 years.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;background:white"><span lang="EN-IN" style="font-size:&#10;12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black;background:white"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;background:white"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:black;background:white">Materials and Methods:</span></b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:black;background:white"> Total 25 cases of tibial plateau fracture type V and VI treated with dual plating from January 2012 to December 2013 were included in the study and followed for minimum of 2 years. The patients were operated through an anterolateral approach for lateral plate and a medial column plate was put through a minimally invasive medial approach or an open posteromedial approach.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;background:white"><span lang="EN-IN" style="font-size:&#10;12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black;background:white"><o:p>&nbsp;</o:p></span></p> <p style="margin:0in;margin-bottom:.0001pt;text-align:justify;background:white"><b style="mso-bidi-font-weight:normal"><span lang="EN-IN" style="color:black">Results<span style="text-transform:uppercase;mso-bidi-font-weight:bold">:</span></span></b><span lang="EN-IN" style="color:black">Twenty five patients (21 men and 4 women) who completed the minimum followup were included in the study. There were 4 Schatzker type V and 21 Schatzker type VI fractures.</span><span lang="EN-IN">Seventeen patients (68%) had excellent, 6 patients (24%) good and 2 patients (8%) had fair functional knee society score.</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;background:white"><span lang="EN-IN" style="font-size:&#10;12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;color:black;mso-fareast-language:EN-IN">The radiological outcome, as assessed by the Rasmussen&rsquo;s knee criteria, was excellent in 20%, good in 72%and fair in 8% patients.There were no instances of deep infection.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;background:white"><span lang="EN-IN" style="font-size:&#10;12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;color:black;mso-fareast-language:EN-IN"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;background:white"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;color:black;mso-fareast-language:&#10;EN-IN">Conclusion</span></b><span lang="EN-IN" style="font-size:12.0pt;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;color:black;text-transform:uppercase;mso-fareast-language:EN-IN">:</span><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;color:black;mso-fareast-language:&#10;EN-IN">Dual plate fixation of severe bicondylar tibial plateau fractures is an excellent treatment option as it provides rigid fixation and allows early knee mobilization. Careful soft tissue handling and employing minimal invasive techniques minimizes soft tissue complications<b style="mso-bidi-font-weight:&#10;normal">. <o:p></o:p></b></span></p>