Department of Orthopedics and Traumatology, Mardin State Hospital, Mardin, Turkey.
Department of Orthopedics and Traumatology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey.
Clin Orthop Surg. 2019 Jun;11(2):151-158. doi: 10.4055/cios.2019.11.2.151. Epub 2019 May 9.
In this study, our aim was to compare the results of the dual locking plate fixation technique and lateral locking plate fixation technique for tibial bicondylar plateau fractures without posteromedial fragment.
We evaluated 20 patients who underwent surgical treatment due to bicondylar tibial plateau fracture between 2010 and 2015. Ten patients were included in group 1, in which a dual locking plate was employed, whereas 10 patients were included in group 2, in which a lateral locking plate was used. In both groups, functional and clinical outcomes after treatment were rated according to the Knee Society Knee Scoring System, Rasmussen functional score, and Rasmussen radiological score.
The mean follow-up time was 24 months. There were no significant differences between the groups with respect to functional and radiographic outcomes at the final follow-up.
In bicondylar tibial plateau fractures without posteromedial fragment, the lateral locking plate fixation technique showed the similar clinical and radiological outcomes as the dual locking plate fixation technique.
本研究旨在比较双锁定钢板固定技术与外侧锁定钢板固定技术治疗无后内侧骨块的胫骨双髁骨折的疗效。
我们评估了 2010 年至 2015 年间因胫骨双髁骨折接受手术治疗的 20 例患者。10 例患者归入组 1，采用双锁定钢板固定；10 例患者归入组 2，采用外侧锁定钢板固定。两组患者均根据膝关节协会膝关节评分系统、Rasmussen 功能评分和 Rasmussen 影像学评分评估治疗后的功能和临床结果。
平均随访时间为 24 个月。在最终随访时，两组患者在功能和影像学结果方面无显著差异。
对于无后内侧骨块的胫骨双髁骨折，外侧锁定钢板固定技术与双锁定钢板固定技术具有相似的临床和影像学结果。
