Raza Elahi Rana, Muhammad Saeed Akhtar, Muhammad Hanif, Kazi Muhammad Saeed.
Restoration of Posteromedial Cortex with Additional Antiglide Plate in Bicondylar Tibial Plateau Fracture Fixation: Radiographic and Clinical Outcome.
Pak J Med Health Sci Jan ;8(3):606-8.

Aim: To evaluate the radiological and functional outcome of an alternate surgical technique in which one third tubular plate is used along with a single T buttress plate or 6.5mm cancellous screws in the management of bicondylar tibial plateau fractures. Methods: A descriptive case series was conducted from July 2011 to July 2013. 24 (18 male and 6 females) patients, mean age 34, with bicondylar fractures presenting in the Accident and Emergency department were operated. In all the cases posteromedial cortex was anatomically reduced and stabilized with 1/3rd tubular plate as the first step of the procedure, directly approaching the posteromedial cortex. It was followed by reduction of the lateral condyle and fixation with buttress plate or cancellous lag screws, depending on the situation. Results: Out of 24 patients 21 patients completed the follow-up program and were included in the study. In all 21 patients articular surface remained intact till the final follow up. 4 patients has complications which included infection in one case and arthrofibrosis in three. Conclusion: Addressing the posteromedial column of the proximal tibia in bicondylar tibial plateau fractures with 1/3rd tubular plate produces very good outcome regarding maintenance of the articular surface and lesser soft tissue complications.

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