What question did this study set out to answer?

To compare clinical, radiological, and functional outcomes between dual-plate fixation (combined posterior and anterolateral approaches) and single anterolateral plate fixation for posterior tibial plateau fractures.

January 30, 2020International Journal of Medical and Biomedical StudiesOpen Access

Fixation of Posterior Tibial Plateau Fracture and Its Outcome: A Comparative Study

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Authors

HSHrishikesh SaodekarSant Gadge Baba Amravati University KAKamal AgrawalCentral Institute of Agricultural Engineering

Discussion

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Implication

Prospective cohort study reveals superior knee function and fewer deformities with dual- versus single-plate fixation in tibial plateau fractures, highlighting the value of direct posterior support.

Key Points

To compare clinical, radiological, and functional outcomes between dual-plate fixation (combined posterior and anterolateral approaches) and single anterolateral plate fixation for posterior tibial plateau fractures.
Conducted a prospective comparative cohort study of 50 adult patients followed for 1 year, allocated to Group A (double-plate fixation, n=25) or Group B (single anterolateral plate fixation, n=25).
Assessed fracture union by serial radiographs every 6 weeks and evaluated functional outcomes and articular subsidence at 1 year via CT scanograms, the International Knee Documentation Committee form, and Knee Society Scores (KSS).
Operative duration was 124 ± 26.7 minutes in Group A versus 79.52 ± 16.22 minutes in Group B, while hospital stays averaged 9.4 ± 2.6 days and 8.2 ± 1.5 days, respectively.
Time to union was 14.6 ± 3.4 weeks in Group A compared to 15.4 ± 3.2 weeks in Group B, with statistically significant differences in both KSS clinical and functional outcomes between groups.
Flexion deformity developed in 3 of 25 patients (12%) in Group A compared to 6 of 25 patients (24%) in Group B.

Cite This Study

Saodekar et al. (2020) studied this question.

synapsesocial.com/papers/6a963ee6f69cd3f69201f32b https://doi.org/10.32553/ijmbs.v4i1.904

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Implication

Prospective cohort study reveals superior knee function and fewer deformities with dual- versus single-plate fixation in tibial plateau fractures, highlighting the value of direct posterior support.

Fixation of Posterior Tibial Plateau Fracture and Its Outcome: A Comparative Study

Discussion

Member takes

Implication

Key Points

Cite This Study

Fixation of Posterior Tibial Plateau Fracture and Its Outcome: A Comparative Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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