Comparison of the pre-shaped anatomical locking plate of 3.5 mm versus 4.5 mm for the treatment of tibial plateau fractures

International Orthopaedics
Matthieu EhlingerFrancois Bonnomet

Abstract

Treatment of tibial plateau fractures is discussed. A retrospective comparative study of fractures treated with an anatomical locking plate of 4.5 mm or 3.5 mm. Our hypothesis is that the 3.5 mm plates give an equivalent hold of fractures with comparable results and better clinical tolerance. From May 2010 to October 2011, 18 patients were operated on using a 4.5-mm LCP™ anatomical plate (group A) and 20 patients received a3.5-mm LCP™ anatomical plate (group B). Groups were comparable. One fracture was open. For the Group A, 14 patients had a follow up of 35.3 months and for the Group B, 16 patients had a follow up of 27 months. Mobility was comparable in both groups. The Hospital for Special Surgery (HSS) score was 86.4 versus 80.6, the Lysholm score was 83.6 versus 77 for groups A and B respectively. Consolidation was 3.25 months versus 3.35 months and mean axis was 183.1° versus 181.6° for groups A and B. Mechanical axes during revision were statistically different to the controlateral axes. One secondary displacement was noted in group A and one secondary displacement in group B. Group A had eight patients reporting discomfort with the material versus three in group B (p < 0.05). The hypothesis is proven. In regards to the ...Continue Reading

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Citations

Oct 17, 2017·JBI Database of Systematic Reviews and Implementation Reports·Tri M PhanLucian B Solomon
Apr 14, 2017·International Orthopaedics·Angélica Millán-BilliPablo Eduardo Gelber
Apr 9, 2018·International Orthopaedics·Daniel WengerCecilia Rogmark
Nov 3, 2020·SAGE Open Medicine·Efthymios Iliopoulos, Nikiforos Galanis

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