Knee joint stability following fixation of tibial plateau fracture by angular locking plate fixation

Jahidul Bari, Wang ., Wu .


Background: Injuries to the tibial plateau generally occur because of a force directed either medially or laterally an axial compressive force or both an axial force and force from the side. Tibial plateau fractures resulting frequently in functional impairment.

Methods: The total of cases included in the study was 47 in number. More than 20 years old patients of both sexes with tibial plateau fractures attended in the study. Proper informed consent was taken from the patients under the study and purpose of the study was explained. Ethical approval was obtained from the Institutional Ethics Committee. All data were processed, analyzed, and disseminated by MS Office and Statistical package for social sciences (SPSS) version 26 as per need.

Results: In this study, for majority (51%) patients <12 weeks were in needed for union. Besides these, for 23.40% and 21.28% patients, time for union were 12-14 and >14 weeks respectively. Unfortunately, in 4.26%% cases (n=2) incidence of non-union was occur. The mean period of radiological union was 12.75 weeks (12-16 weeks). Most of the patients were allowed complete weight bearing at 11 to 14 weeks. Average time gap for complete weight bearing was 13.5 weeks. In assessing the knee stability of the participants, we observed, the mean (±SD) angle of knee joints was 112.08 ±12.32 degree. The mean (±SD) Knee Society Score (KSS) was found 77.51 ± 8.16. As per the functional outcomes among all the participants, majority of them (57.45%) got ‘good’ results whereas 29.79% got ‘Excellent’ and 8.51% got ‘Poor’ results.

Conclusions: Satisfactory knee joint stability for patients with tibial plateau fracture angular locking plate fixation technic may be considered as an effective treatment method for orthopedic surgeons.  


Tibial plateau fractures, Knee joint, Axial, Gustilo Anderson Grade, KSS score

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Tscherne H, Lobenhoffer P. Tibial plateau fractures. Management and expected results. Clin Orthop Relat Res. 1993;(292):87-100.

Barr JS. The treatment of fracture of the EXTERNAL tibial condyle: (Bumper fracture). J American Med Assoc. 1940;115(20):1683-7.

Apley AG. Fractures of tibial plateau. Clin Orthop North Am. 1979;10:61-74.

Ali AM, El-Shafie M, Willet KM. Failure of fixation of tibial plateau fractures. J Orthop Trauma. 2002;16(5):323-9.

Stevens DG, Beharry R, McKee MD, Waddell JP, Schemitsch EH. The long-term functional outcome of operatively treated tibial plateau fractures. J Orthop Trauma. 2001;15(5):312-20.

Schatzer J, McBroom R, Bruce D. The tibial plateau fracture: the Toronto experience 1968-1975. Clin Orthop. 1979;138:94-104.

Keogh P, Kelly C, Cashman WF, McGuinness AJ, O’Rourke SK. Percutaneous screw fixation of tibial plateau fractures. Injury. 1992;23(6):387-9.

Mikulak SA, Gold SM, Zinar DM. Small wire external fixation of high energy tibial plateau fractures. Clin Orthop Relat Res. 1988;356:230-8.

Fyshe TG. Fractures of tibial condyles. Canadian Med Assoc J. 1952;67(2):103.

Savoie FH, Vander Griend RA, Ward EF, Hughes JL. Tibial plateau fractures. A review of operative treatment using AO technique. Orthoped. 1987;10(5):745-50.

Schatzker J, Mcbroom R, Bruce D. The tibial plateau fracture: the Toronto experience 19681975. Clin Orthop Relat Res. 1979;(138):94-104.

De Mourgues G, Chiax D. Treatment of tibial plateau fractures. Rev Chir orthop Reparatrice Mot. 1969;55(6):575-6.

Honkonen SE. Indications for surgical treatment of tibial condyle fractures. Clin Orthop Relat Res. 1994;302:199-205.

Burri C, Bartzke G, Coldewey J, Mugglar E. Fractures of tibial plateau. Clin Orthop Relat Res. 1979;138:84-93.

Bowes DN, Hohl M. Tibial condyle fractures. Evaluation of treatment and outcome. Clin Orthop Relat Res. 1982;171:104-8.

Ebraheim NA, Sabry FF, Haman SP. Open reduction and internal fixation of 117 tibial plateau fractures. Ortho Blue J. 2004;27(12):1281-7.