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
. 2023 Aug 31:12:206.
doi: 10.4103/abr.abr_40_23. eCollection 2023.

The Comparison Between 3.5- and 4.5-mm T-plates for Management of the Patients with Schatzker Type II Tibial Plateau Fractures that Referred to our Emergency Department: A Clinical Trial

Mohammad Parhamfar  1 , Ghasem Mohammadsharifi  1 , Amirmohammad Taravati  1 , Saeed Hatami  1 , Amirhossein Sadeghian  2 , Mostafa Khashei  1 , Mohammad M Najafi  1 , Ali Sherafati Chaleshtori  1
Affiliations

The Comparison Between 3.5- and 4.5-mm T-plates for Management of the Patients with Schatzker Type II Tibial Plateau Fractures that Referred to our Emergency Department: A Clinical Trial

Mohammad Parhamfar et al. Adv Biomed Res. .

Abstract

Background: Tibial plateau fractures have become more frequent in recent years. The most prevalent Schatzker classification is type II, which is a lateral tibial plateau fracture with depression. Our null hypothesis was that the 3.5 T-plate and the 4.5 T-plate have no difference in the management of patients with Schatzker type II tibial plateau fractures.

Materials and methods: The current study is a clinical trial that was conducted on patients with tibial plateau fractures. The Knee Society Score (KSS) was this study's main outcome. Tourniquet time (TT) and patient quality of life using the 36-item Short Form Survey Instrument (SF-36) were secondary goals of the outcomes measurement study. VAS measured pain. Among 176 patients, 89 and 87 of cases underwent surgical treatment with 3.5-mm (group A) and 4.5-mm (group B) T-plate, respectively. The data were entered into SPSS software (version 25, IBM Corporation, Armonk, NY) and analyzed.

Results: In our study, we evaluated 176 patients with a mean age of 34.8 ± 15.2 years. Functional and clinical KSS scores were similar between the two groups throughout follow-up (P > 0.05). Regarding the other variables of VAS, TT, SF-36 physical function, and SF-36 mental health, no significant difference was observed between the two groups, and the two groups had similar averages in terms of these indicators (P > 0.05).

Conclusion: According to the results, both plates had the appropriate functional outcomes in patients with split depression tibial plateau fracture.

Keywords: Bone plates; Schatzker classification; fracture; internal fixation; tibial plateau.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Consort diagram of patients that underwent surgical treatment with 3.5-mm (group A) and 4.5-mm (group B) T-plates
Figure 2
Figure 2
Comparison of the KSS-Functional between Groups A and B
Figure 3
Figure 3
Comparison of the KSS-Clinical between Groups A and B
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Rudran B, Little C, Wiik A, Logishetty K. Tibial plateau fracture: Anatomy, diagnosis and management. Br J Hosp Med (Lond) 2020;81:1–9. - PubMed
    1. Frosch KH, Korthaus A, Thiesen D, Frings J, Krause M. The concept of direct approach to lateral tibial plateau fractures and stepwise extension as needed. Eur J Trauma Emerg Surg. 2020;46:1211–9. - PMC - PubMed
    1. Iliopoulos E, Galanis N. Physiotherapy after tibial plateau fracture fixation: A systematic review of the literature. SAGE Open Med. 2020;8:2050312120965316. - PMC - PubMed
    1. Zhang BB, Sun H, Zhan Y, He QF, Zhu Y, Wang YK, et al. Reliability and repeatability of tibial plateau fracture assessment with an injury mechanism-based concept. Bone Joint Res. 2019;8:357–66. - PMC - PubMed
    1. Mansur H, Corrêa VLB, Abdo B, Ramos LS, Castiglia MT. Evaluation of the reproducibility of the Schatzker classification reviewed by Kfuri for tibial plateau fractures. Rev Bras Ortop (Sao Paulo) 2022;57:502–10. - PMC - PubMed

LinkOut - more resources