Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating
The management of bicondylar tibial plateau fractures is challenging. A lateral locking plate offers an alternative method to traditional dual plating to avoid further stripping of soft tissue. Nevertheless, the rate of malreduction and fixation loss remains high. From 2007 to 2009, we performed ope...
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| Format: | Article |
| Language: | English |
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Wiley
2013-10-01
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| Series: | Kaohsiung Journal of Medical Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X13000272 |
| _version_ | 1818683059779665920 |
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| author | Tien-Ching Lee Hsuan-Ti Huang Yu-Chuan Lin Chung-Hwan Chen Yuh-Min Cheng Jian-Chih Chen |
| author_facet | Tien-Ching Lee Hsuan-Ti Huang Yu-Chuan Lin Chung-Hwan Chen Yuh-Min Cheng Jian-Chih Chen |
| author_sort | Tien-Ching Lee |
| collection | DOAJ |
| description | The management of bicondylar tibial plateau fractures is challenging. A lateral locking plate offers an alternative method to traditional dual plating to avoid further stripping of soft tissue. Nevertheless, the rate of malreduction and fixation loss remains high. From 2007 to 2009, we performed open reduction and fixation with unilateral locked plating to directly reduce the fracture in 15 patients with bicondylar plateau fracture. The average follow-up duration was 16.2 months (range: 12–30 months), and the average age of the patients was 43 years (range: 19–64 years). All fractures were Orthopaedic Trauma Association type 41-C. Postoperative radiographic alignment was evaluated immediately and at 2–4 weeks, 8–12 weeks, 5–7 months, and 11–13 months. Both Oxford knee score and Hospital for Special Surgery knee score were used to evaluate functional outcomes. The average duration within which union was achieved was 4.8 months (range: 2–10 months). One patient incurred wound dehiscence; however, there was no case of deep infection. Malreduction occurred in one patient (6.7%) while fixation loss occurred in three patients (20%) with subsidence of the posteromedial fragment and varus malalignment. Despite the malreduction rate being lower in our study than in previous studies involving unilateral locked plating, a high rate of fixation loss was recorded. Per our limited experience, we believe that unilateral locked plating may have limitations in patients with selective patterns of bicondylar tibial plateau fractures. |
| first_indexed | 2024-12-17T10:28:43Z |
| format | Article |
| id | doaj.art-1f2cd6ef9c304bc0a5cf4eebe17f821d |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-17T10:28:43Z |
| publishDate | 2013-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-1f2cd6ef9c304bc0a5cf4eebe17f821d2022-12-21T21:52:34ZengWileyKaohsiung Journal of Medical Sciences1607-551X2013-10-01291056857710.1016/j.kjms.2013.01.006Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked platingTien-Ching LeeHsuan-Ti HuangYu-Chuan LinChung-Hwan ChenYuh-Min ChengJian-Chih ChenThe management of bicondylar tibial plateau fractures is challenging. A lateral locking plate offers an alternative method to traditional dual plating to avoid further stripping of soft tissue. Nevertheless, the rate of malreduction and fixation loss remains high. From 2007 to 2009, we performed open reduction and fixation with unilateral locked plating to directly reduce the fracture in 15 patients with bicondylar plateau fracture. The average follow-up duration was 16.2 months (range: 12–30 months), and the average age of the patients was 43 years (range: 19–64 years). All fractures were Orthopaedic Trauma Association type 41-C. Postoperative radiographic alignment was evaluated immediately and at 2–4 weeks, 8–12 weeks, 5–7 months, and 11–13 months. Both Oxford knee score and Hospital for Special Surgery knee score were used to evaluate functional outcomes. The average duration within which union was achieved was 4.8 months (range: 2–10 months). One patient incurred wound dehiscence; however, there was no case of deep infection. Malreduction occurred in one patient (6.7%) while fixation loss occurred in three patients (20%) with subsidence of the posteromedial fragment and varus malalignment. Despite the malreduction rate being lower in our study than in previous studies involving unilateral locked plating, a high rate of fixation loss was recorded. Per our limited experience, we believe that unilateral locked plating may have limitations in patients with selective patterns of bicondylar tibial plateau fractures.http://www.sciencedirect.com/science/article/pii/S1607551X13000272Bicondylar plateau fractureLocked platingLocking plate |
| spellingShingle | Tien-Ching Lee Hsuan-Ti Huang Yu-Chuan Lin Chung-Hwan Chen Yuh-Min Cheng Jian-Chih Chen Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating Kaohsiung Journal of Medical Sciences Bicondylar plateau fracture Locked plating Locking plate |
| title | Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating |
| title_full | Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating |
| title_fullStr | Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating |
| title_full_unstemmed | Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating |
| title_short | Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating |
| title_sort | bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating |
| topic | Bicondylar plateau fracture Locked plating Locking plate |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X13000272 |
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