Vol. 5, Issue 4 (2019)

To study outcomes in patients with schatzker type V and VI tibial plateau fracture treated with single 4.5mm lateral locking compression plate

Author(s):

Dr. Pulkit P Maniar, Dr. Pratik Patel and Dr. Tejash patel

Abstract:
Background: Bicondylar tibial plateau fractures Schatzker type V and VI present a therapeutic challenge to the orthopaedic trauma surgeon both in terms of the osseous injury as well as the concomitant soft-tissue insult. Double Plating with single incision or dual incisions provides more insult to the compromised soft tissue. However, single locking plate combines the technical advantages of an angular stable plate with those of the modern biological plating technique.
Methods: The Study was held at the authors’ institutions between January 2014 and December 2017, 20 patients with a mean age of 40.5 years (Range from 22-65 years) with Bicondylar tibial plateau fractures with or without metaphyseal extension. Patients were diagnosed clinically, checked with standard X-rays. Patients were treated by single lateral anatomically contoured 4.5mm locking compression plate. Functional assessment was done according to the Rasmussen Knee score and WOMAC score. Radiological evaluation was done according to the Modified Rasmussen Knee score. Patients were followed-up for an average of 6 months.
Results: Union was achieved in all patients with a mean knee range of motion of 2°-118° (range: 0°-10° for extension lag, range: 85°-135° for flexion). The mean Functional Rasmussen Knee score at 6 month follow up (24.55 ± 3.17 SD) ranged from (18.0-29.0) with significant P value (P value <0.001) and mean WOMAC score was (15.65±6.45) ranged from (7.0-30.0). The mean Modified Rasmussen Radiological Knee score at 6 month follow up (7.45 ± 1.57 SD) ranged from (3.0 - 9.0). Of the 20 patients, two patient had wound related problems, two patient had post-operative malalignment (varus), one patient suffered from hardware irritation and one patient had instabiity.
Conclusions: Surgical treatment of bicondylar tibial plateau fractures with the single lateral locking compression plate that was evaluated in our study can lead to a good functional and radiological outcome and considered an effective system for providing fracture stabilization provided that the correct surgical technique is used. Awareness of posteromedial fragment fixation through lateral locking plate with screws engaging the fragment and delay weight bearing is essential to prevent medial collapse.

Pages: 204-208  |  1058 Views  148 Downloads

How to cite this article:
Dr. Pulkit P Maniar, Dr. Pratik Patel and Dr. Tejash patel. To study outcomes in patients with schatzker type V and VI tibial plateau fracture treated with single 4.5mm lateral locking compression plate. Int. J. Orthop. Sci. 2019;5(4):204-208. DOI: 10.22271/ortho.2019.v5.i4d.1675