Reliability of locked plating in tibial plateau fractures with a medial component

Orthopaedics & Traumatology, Surgery & Research : OTSR
M EhlingerF Bonnomet

Abstract

Tibial plateau fractures are notoriously difficult to manage, particularly when there is a medial or posteromedial component. We report a retrospective analysis of our experience with consecutive tibial plateau fractures including a medial component that were managed using a single lateral locking plate. Tibial plateau fractures with a medial component can be effectively managed using a single lateral locking plate. From January 2005 to December 2008, 20 patients (ten women and ten men, mean age 47 years) were managed for tibial plateau fractures having a medial component, including five Schatzker IV, five Schatzker V, and ten Schatzker VI. One patient had an open fracture. A single lateral anatomically contoured locking compression plate (LCP™) was used with or without additional isolated screws. Mobilization was started immediately after the procedure, and non-weight-bearing was maintained for at least 6 weeks. All patients were followed until healing. A final evaluation was available for 13 patients after a mean of 39.1 months (12-72); five patients were lost to follow-up and two died. Early revision was needed in one patient for 20° malreduction within the fracture site. We recorded one case each of deep vein thrombosis, su...Continue Reading

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Citations

Mar 19, 2016·Injury·Zinon T KokkalisElias Panagiotopoulos
Nov 21, 2013·Orthopaedic Surgery·Jitesh Kumar JainAshish Rana
Sep 14, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Liang Yu, Zhong Fenglin
Feb 21, 2018·JBJS Reviews·Adam K LeeCory Collinge
Mar 17, 2015·JBJS Reviews·William M Ricci

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