scholarly journals Modified Anatomic Locking Plate for the Treatment of Posteromedial Tibial Plateau Fractures

2020 ◽  
Vol 12 (6) ◽  
pp. 1605-1611
Author(s):  
Zhen Jian ◽  
Rong‐guang Ao ◽  
Jian‐hua Zhou ◽  
Xin‐hua Jiang ◽  
Bao‐qing Yu
Keyword(s):  
Tibial Plateau ◽  
Locking Plate ◽  
Tibial Plateau Fractures ◽  
Anatomic Locking Plate

scholarly journals A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhen Jian ◽  
Rongguang Ao ◽  
Jianhua Zhou ◽  
Xinhua Jiang ◽  
Dianying Zhang ◽  
...  
Keyword(s):  
Tibial Plateau ◽  
Locking Plate ◽  
Tibial Plateau Fractures ◽  
Anatomic Locking Plate

scholarly journals Comparison of Functional Outcomes of Tibial Plateau Fractures Treated with Nonlocking and Locking Plate Fixations: A Nonrandomized Clinical Trial

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Mohammad Ali Tahririan ◽  
Seyyed Hamid Mousavitadi ◽  
Mohsen Derakhshan
Keyword(s):  
Functional Outcomes ◽  
Tibial Plateau ◽  
Locking Plate ◽  
Plate Fixation ◽  
Tibial Plateau Fractures ◽  
Plate Method ◽  
Plate Group ◽  
Plateau Fracture ◽  
The Mean

Fixation of tibial plateau fractures with plate has been widely used. This prospective study was planned to compare locking plate fixation of tibial plateau fracture with nonlocking methods in terms of their functional outcomes. The subjects of the study were selected from consecutive patients suffering from tibial plateau fractures referred to Kashani Hospital in Isfahan, Iran, between 2012 and 2013 and were candidate for surgery. The final included patients were assigned to two groups, those who were treated with locking plate (n=20) and those who were treated with nonlocking plates (N=21). The mean duration of follow-up was 13.4 months (ranging between 10 and 17 months). The mean of knee scores was significantly higher in locking plate group than in nonlocking plate group at the follow-up time (80.20±10.21 versus 72.52±14.75, P=0.039). Also, the mean VAS pain severity score was significantly lower in locking plate group compared with nonlocking plate group (4.45±2.50 versus 6.00±2.59, P=0.046). This study confirmed superiority of the locking plate method over nonlocking plate method with regard to knee score as well as VAS pain score.

scholarly journals A Locking Plate Designed With Cluster of Head Screws Would Be Biomechanically Superior Than Conventional Buttress Plate For The Fixation of Posteromedial Tibial Plateau Fractures: A Computational Assessment

2021 ◽  
Author(s):  
Kai-Cheng Lin ◽  
Yih-Wen Tarng ◽  
Kun-Jhih Lin ◽  
Hung-Wen Wei
Keyword(s):  
Tibial Plateau ◽  
Locking Plate ◽  
Equivalent Stress ◽  
High Energy ◽  
Tibial Plateau Fractures ◽  
Surgical Approaches ◽  
Fixation Methods ◽  
Maximum Equivalent Stress ◽  
Tibial Plate ◽  
Buttress Plate

Abstract Background: Dealing with high-energy fractures of the tibial plateau remains a challenge despite advances in implants, surgical approaches, and imaging methods. Posterior buttress plate is most commonly used implant but the fixation stability is still a challenge. Recently, a newly designed tibial locking plate was introduced that aims to provide better fixation strength for tibial plateau split fracture. This study compared the biomechanical strength of three different posteromedial tibial plateau split fracture fixation methods. Methods: The tibial plateau fractures were simulated using a human tibiae model. Each fracture model was virtually implanted with one of the three following constructs, proximal medial tibial plate (PMT), proximal posterior medial tibial plate (PPMT), and posterior T-shaped buttress plate (TBP). Posteromedial fragment vertical subsidence was measured under 2000 N joint contact force. The maximum Equivalent stress on the bone plate and bone screw and the construct stiffness were determined.Results: The proximal medial tibial plate (PMT) allowed the least posteromedial fragment subsidence and produced higher construct stiffness than each of the other two constructs. However, the proximal posterior medial tibial plate (PPMT) showed higher stiffness than the T-shaped buttress plate (TBP). The maximum Equivalent stress was the smallest for the proximal medial tibial plate (PMT).Conclusion: This study showed that the proximal medial tibial locking plate or proximal posterior medial tibial locking plate were biomechanically more stable fixation methods for posteromedial split tibial plateau fractures.

scholarly journals Prospective study of management of Schatzker’s type V & VI tibial plateau fractures by different types of plate osteosynthesis

2017 ◽  
Vol 3 (5) ◽  
pp. 1070
Author(s):  
Siddaram N. Patil ◽  
Pandurangaiah Srinivas ◽  
Divya Bhandary
Keyword(s):  
Prospective Study ◽  
Tibial Plateau ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Tibial Plateau Fractures ◽  
Dual Plating ◽  
Different Types ◽  
Dual Incision ◽  
Type V ◽  
Hss Score

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Schatzker‘s type V and type VI fractures are bicondylar tibial plateau fractures which pose a challenge to the treating orthopaedician. Several studies have compared unilateral locked plate and double plating for their treatment and showed no statistically significant difference between these two fixation methods. So the quest for ideal implant for internal fixation (unilateral plating and dual plating) of these fractures continues. Hence we decided to do this study.</span></p><p class="abstract"><strong>Methods:</strong> A prospective study of Surgical Management of thirty seven cases of Schatzker’s type V and VI tibial plateau fractures by different types of plate osteosynthesis (single unilateral locking plate and dual incision locking buttress plate) was carried out. The functional outcomes were assessed by the hospital for special surgery knee score system.<strong></strong></p><p class="abstract"><strong>Results:</strong> 18 patients were fixed with a unilateral locking plate, 19 patients were fixed with a dual incision bilateral locking plates. All patients had satisfactory articular surface reduction and axis of alignment on immediate postoperative radiographs. All cases achieved union by 4.8 months approximately. All patients had either excellent or good HSS score. Mean HSS score at recent follow-up was 86.10 in DP group and 83 in SP groups (t value 2.81, p values 0.008)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> We conclude that single plating and dual plating fixation of complex proximal tibial plateau fracture Schatzker‘s type 5 and type 6 ensures stable fixation, immediate mobilization, satisfactory radiological outcome, very high union rates and excellent functional assessment outcome with a very low rate of complications<span lang="EN-IN">.</span></p>

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