Comparison of Bicondylar Tibial Plateau Fractures With Double or Single Lateral Locked Plate

Abstract

Objective: To compare postoperative radiographic outcomes of Schatzker type V and VI tibial plateau fractures treated with double-plate or single lateral locked plate. Methods: Sixty-three patients operated from December 2011 to February 2016 were selected, 47 from the double-plate group and 16 from the single lateral locked plate group. Minimum follow-up for all patients was 6 months. Fracture reduction evaluation was based on radiographic parameters: joint reduction, sagittal alignment, coronal alignment, and condylar width. Results: Radiographic evaluation showed no statistical difference in the immediate or late postoperative periods. Conclusion: Despite the reduced sample, this study is aligned with current results published in the medical literature. The severity of Schatzker type V and VI tibial plateau fractures can be minimized by the correct indication for the implant regarding fracture morphology. Level of Evidence III, Retrospective comparative study.

Comparative Analysis of Single Lateral Locked Plate and Double Locked Plate Application in the Treatment of Bicondylar Tibial Plateau Fractures

“…On the other hand, there are studies in the literature comparing DLP- and SLLP-treated BTPFs with radiographic parameters. Arouca et al compared the coronal alignment of the medial proximal tibia, sagittal alignment of proximal tibia, and condylar width in radiographs taken in the immediate postoperative and late postoperative periods in 63 patients who were treated with DLP or SLLP, and did not observe a significant difference between the two treatment groups [ 26 ]. In another study, both surgical methods were compared by measuring the tibiofemoral anatomic angle, MPTA, and proximal posterior tibial angle parameters, and no significant difference was found [ 20 ].…”