Comparison Of Therapeutic Effects Of Locking Plate And Bilateral Plate For Treating Complex Fractures Of Tibial Plateau

Background/Object: To compare therapeutic effects of locking plate and bilateral plate for treating complex fractures of tibial plateau.Methods: A total of 102 patients of complex fractures of tibial plateau fractures were treated at our hospital from January 2007 to December 2012. Preoperative CT scans were evaluated on a consecutive series of complex fractures of tibial plateau fractures. Group A(54patients):Medial articular fracture without a coronal component, treated with a lateral locked plate. Group B(48 patients): Medial articular fracture with a coronal component, treated with a lateral locked plate. Group C(26 patients): Medial articular fracture with a coronal component, treated with dual plating.Results: There was no significant difference of infection, non-union and failure of fixation(p>0.05). When compare between two groups, group B has a significant difference of other two groups, It has a high rate of failure of fixation(p<0.05)Conclusion: Most patients with bicondylar tibial plateau fractures do well when treated with lateral locked plating. However, those with a medial coronal fracture line tend to have a higher rate of subsidence and loss of reduction when lateral locked plating is employed alone.These fractures may be better treated with dual plating if the soft tissues allow.