Title:  Study of dual plating in bicondylar fracture, our experience in 25 cases at J.L.N hospital and Research Centre Bhilai (C.G)

Authors: Dr Satveer Singh, MBBS, (DNB) (Ortho), Dr Mahk Nelofar MBBS, MD, Dr Jayeshkumar Dave, MS (Ortho), Dr C.S Kurup, MBBS, MS (Ortho)

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.144

Abstract

Background: Bicondylar fractures of tibia are common fractures occurring in young age groups. Appropriate management is necessary for optimal function and to prevent complications.

Aims and Objectives: To determine the union rate, anatomical reduction and articular congruity restoration, functional outcomes, assessment of surgical approaches and residual complication.

Methods: over a thirty month periods, 26 schatzker type five and type six fractures were treated with medial and lateral (dual) plating. Injury classification done on the basis of X ray and computed tomography. Reduction assessment done by immediate post-operative x ray. American knee society score (AKSS) was used to evaluate functional outcome.

Results: Eighteen male and eight female, skeletally matured, closed fracture were included in this study group. The maximum duration of follow up was 24 months, complete union shown within 6 months of post-operative period. For bi-condylar fracture tibia open reduction and internal fixation by dual plating offers satisfactory way of early mobilization and restoration of function.

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