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. 2014 May;38(5):1031-5.
doi: 10.1007/s00264-013-2211-z. Epub 2013 Dec 18.

Multi-plate reconstruction for severe bicondylar tibial plateau fractures of young adults

Qilin Zhai  1 , Chengfang Hu, Congfeng Luo
Affiliations

Multi-plate reconstruction for severe bicondylar tibial plateau fractures of young adults

Qilin Zhai et al. Int Orthop. 2014 May.

Abstract

Purpose: This study was to evaluate clinical outcomes and complications following multi-plate reconstruction for treating severe bicondylar tibial plateau fractures of young adults.

Methods: Between September 2007 and February 2012, 26 patients with severe bicondylar tibial plateau fractures met inclusion criteria; they were treated using multi-plate technique through combined approaches. Patients received an average follow-up of 40.8 (range, 18-64) months, which included anteroposterior and lateral imaging, postoperative complications, range of motion and stability of the knee. The Rasmussen score was applied for functional and radiological evaluation.

Results: Three to five plates were used for reconstruction. No intra-operative complications occurred. Postoperative complications included bulge of hardware in four patients and superficial dehiscence in three cases in the anterolateral incision of which one developed to deep infection. There was no neurovascular damage, and no implant breakage or loosening. Hardware was removed partly or totally in 16 cases. The average Rasmussen score at final follow-up was 27.2 (range, 21-30) points for functional evaluation and 16.4 (range, 14-18) for radiology.

Conclusions: Multi-plate reconstruction is a valid and safe method for treating severe bicondylar tibial plateau fractures of young adults.

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Figures

Fig. 1
Fig. 1
A 26-year-old male patient sustained a severe bicondylar tibial plateau fracture after a traffic accident. Preoperative (a), four-week postoperative (b), three-month postoperative (c), and 24 months postoperative (d)
Fig. 2
Fig. 2
A 25-year-old female patient sustained a severe bicondylar tibial plateau fracture after a traffic accident. Preoperative (a), three-months postoperative (b), 12-months postoperative (c), the range of motion and scars of combined incisions at 20-months postoperative (d), after hardware removal at 21-months postoperative and one nail breakage during removal (e). L lateral, M medial
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