Atin Jaiswal,Naiman Deepak Kachchhap,Yashwant S Tanwar,Birendra Kumar,Sachin K Yadav.[J].Chin J Traumatol,2014,17(3):183-186. [doi]

Triple plating of tibia in a complex bicondylar tibial plateau fracture

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KeyWord: Tibial fractures Bone plates Knee

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Author Name	Affiliation
Atin Jaiswal	Department of Orthopaedics, Bokaro General Hospital, Bokaro, India
Naiman Deepak Kachchhap	Department of Orthopaedics, Bokaro General Hospital, Bokaro, India
Yashwant S Tanwar	Department of Orthopaedics, Postgraduate Institute of Medical Education & Research and Dr. Ram Manohar Lohia Hospital, New Delhi, India
Birendra Kumar	Department of Orthopaedics, Bokaro General Hospital, Bokaro, India
Sachin K Yadav	Department of Orthopaedics, Bokaro General Hospital, Bokaro, India

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Abstract:

High-energy tibial plateau fracture poses a significant challenge and difficulty for orthopaedic surgeons. Fracture of tibial plateau involves major weight bearing joint and may alter knee kinematics. Anatomic reconstruction of the proximal tibial articular surfaces, restoration of the limb axis (limb alignment) and stable fixation permitting early joint motion are the goals of the treatment. In cases of complex bicondylar tibial plateau fractures, isolated lateral plating is frequently associated with varus malalignment and better results have been obtained with bilateral plating through dual incisions. However sometimes a complex type of bicondylar tibial plateau fractures is encountered in which medial plateau has a biplaner fracture in posterior coronal plane as well as sagittal plane. In such fractures it is imperative to fix the medial plateau with buttressing in both planes. One such fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and anterolateral incisions is discussed in this case report with emphasis on mechanisms of this type of injury, surgical approach and management.

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