Treatment of Bicondylar Tibial Plateau Fractures by single lateral locked Plate

Abstract

Introduction: Bicondylar tibial plateau fractures need surgical treatment to achieve good clinical results. The locking plate combines the technical advantages of an angular stable plate with those of the modern biological plating technique. Hypothesis: Bicondylar Tibial Plateau Fractures can be effectively managed using a single lateral locking plate. Materials and methods: Between May 2012 and November 2013, 20 patients with a mean age of 38 years (Range from 24-57 years) with bicondylar tibial plateau fractures with or without metaphyseal extension. Patients were diagnosed clinically, checked with standard X-rays, CT was done for all cases. Patients were treated by single lateral anatomically contoured locked plate through LISS or Polyaxial locking plate systems with or without additional screws from medial side. Radiological evaluation and functional assessment was done according to the Rasmussen Knee score. Patients were followed-up for an average of 12 months.