MANAGEMENT OF BICONDYLAR TIBIAL PLATEAU FRACTURES TREATED WITH LATERAL LOCKING PLATE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 27
Abstract
[b]BACKGROUND AND OBJECTIVES[/b]: Incidence of fracture of proximal tibial fractures is increasing regularly due to Road Traffic Accidents. Being one of the major weights bearing joint around it will be paramount importance. Bicondylar tibial plateau fractures usually include damage to the soft tissue, and efforts to fix both the lateral and medial columns with plates can result in tissue loss and infection. In an effort to reduce further damage to the soft tissues, a number of techniques and new implants have been developed. One promising technique involves the use of a single lateral locking plate. [b]MATERIALS AND METHODS:[/b] We prospectively followed a case series of 21 patients with bicondylar tibial plateau fractures treated with single lateral locking plate. All the cases were closed. We assessed malreduction, secondary loss of reduction and infection rates in patients treated with single lateral locking plate. [b]RESULTS: [/b]We followed all cases until union of fractures. Average time for healing was 12-14 weeks. Healing occurred earlier in cases where MIPO technique was used. We had total of 5 complicated cases which included 1 case of knee joint stiffness with infection, 2 cases of malreduction and 2 cases of post-operative loss of reduction. We had no case of any purely implant related complication like screw loosening, screw breakage plate failure. [b]CONCLUSION: [/b]We concluded that single lateral locking plate is a good alternative in the treatment of Bicondylar tibial plateau fractures. Even though it is biomechanically inferior to dual plate fixation it can be considered as good treatment option in case of severe soft tissue involvement. The reduction technique for exact alignment is demanding and we used ligamentotaxis through distractor to achieve near anatomical reduction. The infection rate is low for single lateral locking plate
Authors and Affiliations
Mukharjee G. S, Vindhya K , Dakshina Murthy
Keywords
Related Articles
- EP ID EP95670
- DOI 10.14260/jemds/2014/2948
- Views 65
- Downloads 0
EDWARDS SYNDROME: AUTOPSY REPORT OF TWO CASES
BACKGROUND The Trisomy 18 syndrome (Edwards syndrome) is an autosomal disorder due to the presence of an extra chromosome on chromosome 18. It is a rare genetic disorder involving multiple organ systems. The r...
MANAGERIAL CHALLENGES OF TEACHING HOSPITAL, A REVIEW OF THE EXISTING LITERATURE
BACKGROUND Teaching hospitals have three goals including curing, education and research. Providing education along with health care services expands the mission and accountability of these goals and results in more chall...
ISCHAEMIC STROKE IN YOUNG WOMAN DUE TO PROTEIN-C DEFICIENCY
PRESENTATION OF CASE A 30-year-old previously healthy female patient was admitted in this teaching hospital with history of sudden onset of sensory loss and weakness of left upper and lower limbs. She had headache for 10...
STUDY OF SERUM ADENOSINE DEAMINASE AND ALKALINE PHOSPHATASE IN RHEUMATOID ARTHRITIS
Rheumatoid arthritis is a chronic systemic autoimmune disorder causing inflammation of the synovial joints leading to joint destruction as well as a variety of extra articular features. In this present study, s...
ONE FOR ALL- INTRODUCING AN ALTERNATIVE EASILY-ASSEMBLED ADJUSTABLE LOOP SUCTION DEVICE FOR DENTAL PROCEDURES
BACKGROUND During dental sedation, control of the cough reflex is crucial for a safe and smooth procedure. Accumulated saliva is one of the predisposing factors for coughing. Therefore, extensive suction is very importan...