Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2019 Jun;11(2):151-158.
doi: 10.4055/cios.2019.11.2.151. Epub 2019 May 9.

Lateral Locked Plating or Dual Plating: A Comparison of Two Methods in Simple Bicondylar Tibial Plateau Fractures

Affiliations
Comparative Study

Lateral Locked Plating or Dual Plating: A Comparison of Two Methods in Simple Bicondylar Tibial Plateau Fractures

Caner Citak et al. Clin Orthop Surg. 2019 Jun.

Abstract

Background: In this study, our aim was to compare the results of the dual locking plate fixation technique and lateral locking plate fixation technique for tibial bicondylar plateau fractures without posteromedial fragment.

Methods: We evaluated 20 patients who underwent surgical treatment due to bicondylar tibial plateau fracture between 2010 and 2015. Ten patients were included in group 1, in which a dual locking plate was employed, whereas 10 patients were included in group 2, in which a lateral locking plate was used. In both groups, functional and clinical outcomes after treatment were rated according to the Knee Society Knee Scoring System, Rasmussen functional score, and Rasmussen radiological score.

Results: The mean follow-up time was 24 months. There were no significant differences between the groups with respect to functional and radiographic outcomes at the final follow-up.

Conclusions: In bicondylar tibial plateau fractures without posteromedial fragment, the lateral locking plate fixation technique showed the similar clinical and radiological outcomes as the dual locking plate fixation technique.

Keywords: Bicondylar tibial plateau; Dual plate; Fracture; Locking plate fixation; Single plate.

PubMed Disclaimer

Conflict of interest statement

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. (A) Preoperative radiograph showing left tibial plateau fracture in a 36-year-old male patient. (B, C) Radiographs taken 21 months after dual locking plate fixation.
Fig. 2
Fig. 2. (A) Preoperative radiograph showing right tibial plateau fracture in a 36-year-old female patient. (B, C) Radiographs taken 14 months after lateral locking plate fixation.

References

    1. Chang H, Zhu Y, Zheng Z, et al. Meta-analysis shows that highly comminuted bicondylar tibial plateau fractures treated by single lateral locking plate give similar outcomes as dual plate fixation. Int Orthop. 2016;40(10):2129–2141. - PubMed
    1. Manidakis N, Dosani A, Dimitriou R, Stengel D, Matthews S, Giannoudis P. Tibial plateau fractures: functional outcome and incidence of osteoarthritis in 125 cases. Int Orthop. 2010;34(4):565–570. - PMC - PubMed
    1. Watson JT. Tibia: proximal. In: Ruedi TP, Murphy WM, editors. AO principles of fracture management. Stuttgart: Thieme; 2000. pp. 499–517.
    1. Lee TC, Huang HT, Lin YC, Chen CH, Cheng YM, Chen JC. Bicondylar tibial plateau fracture treated by open reduction and fixation with unilateral locked plating. Kaohsiung J Med Sci. 2013;29(10):568–577. - PMC - PubMed
    1. Luo CF, Sun H, Zhang B, Zeng BF. Three-column fixation for complex tibial plateau fractures. J Orthop Trauma. 2010;24(11):683–692. - PubMed

Publication types