Prospective study demonstrates stability and positive outcomes in bicondylar tibial plateau fractures, suggesting effective treatment methods.
Introduction: Bicondylar tibial plateau fractures are complex intra-articular injuries that require stable fixation and early mobilization. Bicolumnar fixation using a buttress plate combined with a titanium elastic nail system (TENS) aims to provide biomechanical stability while preserving soft-tissue integrity. Materials and Methods: A prospective study was conducted on 60 adult patients with bicondylar tibial plateau fractures treated with bicolumnar fixation. Demographic data, operative parameters, clinical union, complications, and functional outcomes were analyzed. Results: The mean age of the patients was 37.4 ± 12.38 years. Clinical union was achieved in 36.7% of the patients. Significant differences were observed in operative time and blood loss between the sexes. Age and clinical union were significant predictors of the post-operative knee range of motion. Conclusion: Bicolumnar fixation using a buttress plate and a TENS nail provides acceptable clinical and functional outcomes with stable fixation in bicondylar tibial plateau fractures.
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Shukla et al. (2026) studied this question.
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