Trauma Monthly

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Surgical Management of Tibial Plateau Fractures With 3.5 mm Simple Plates

Abolfazl Bagherifard 1 , Mahmoud Jabalameli 1 , Hosseinali Hadi 1 , Mohammad Rahbar 1 , Mohammadreza Minator Sajjadi 2 , * , Ali Jahansouz 1 and Hossein Karimi Heris 1
Authors Information
1 Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, IR Iran
2 Taleghani Hospital Research Development Unit, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Article information
  • Trauma Monthly: May 01, 2016, 21 (2); e26733
  • Published Online: May 1, 2016
  • Article Type: Research Article
  • Received: January 11, 2015
  • Revised: April 24, 2015
  • Accepted: June 28, 2015
  • DOI: 10.5812/traumamon.26733

To Cite: Bagherifard A, Jabalameli M, Hadi H, Rahbar M, Minator Sajjadi M, et al. Surgical Management of Tibial Plateau Fractures With 3.5 mm Simple Plates, Trauma Mon. 2016 ; 21(2):e26733. doi: 10.5812/traumamon.26733.

Copyright © 2016, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Materials and Methods
4. Results
5. Discussion
  • 1. Biyani A, Reddy NS, Chaudhury J, Simison AJ, Klenerman L. The results of surgical management of displaced tibial plateau fractures in the elderly. Injury. 1995; 26(5): 291-7[PubMed]
  • 2. Yu Z, Zheng L, Zhang Y, Li J, Ma B. Functional and radiological evaluations of high-energy tibial plateau fractures treated with double-buttress plate fixation. Eur J Med Res. 2009; 14(5): 200-5[PubMed]
  • 3. Kaab MJ, Frenk A, Schmeling A, Schaser K, Schutz M, Haas NP. Locked internal fixator: sensitivity of screw/plate stability to the correct insertion angle of the screw. J Orthop Trauma. 2004; 18(8): 483-7[PubMed]
  • 4. Yoo BJ, Beingessner DM, Barei DP. Stabilization of the posteromedial fragment in bicondylar tibial plateau fractures: a mechanical comparison of locking and nonlocking single and dual plating methods. J Trauma. 2010; 69(1): 148-55[DOI][PubMed]
  • 5. Goyal KS, Skalak AS, Marcus RE, Vallier HA, Cooperman DR. Analysis of anatomic periarticular tibial plate fit on normal adults. Clin Orthop Relat Res. 2007; 461: 245-57[DOI][PubMed]
  • 6. Greiwe RM, Archdeacon MT. Locking plate technology: current concepts. J Knee Surg. 2007; 20(1): 50-5[PubMed]
  • 7. DeCoster TA, Nepola JV, el-Khoury GY. Cast brace treatment of proximal tibia fractures. A ten-year follow-up study. Clin Orthop Relat Res. 1988; (231): 196-204[PubMed]
  • 8. Blokker CP, Rorabeck CH, Bourne RB. Tibial plateau fractures. An analysis of the results of treatment in 60 patients. Clin Orthop Relat Res. 1984; (182): 193-9[PubMed]
  • 9. Rademakers MV, Kerkhoffs GM, Sierevelt IN, Raaymakers EL, Marti RK. Operative treatment of 109 tibial plateau fractures: five- to 27-year follow-up results. J Orthop Trauma. 2007; 21(1): 5-10[DOI][PubMed]
  • 10. Andrews JR, Tedder JL, Godbout BP. Bicondylar tibial plateau fracture complicated by compartment syndrome. Orthop Rev. 1992; 21(3): 317-9[PubMed]
  • 11. Chan DB, Jeffcoat DM, Lorich DG, Helfet DL. Nonunions around the knee joint. Int Orthop. 2010; 34(2): 271-81[DOI][PubMed]
  • 12. Baima J, Krivickas L. Evaluation and treatment of peroneal neuropathy. Curr Rev Musculoskelet Med. 2008; 1(2): 147-53[DOI][PubMed]
  • 13. Lasanianos NG, Garnavos C, Magnisalis E, Kourkoulis S, Babis GC. A comparative biomechanical study for complex tibial plateau fractures: nailing and compression bolts versus modern and traditional plating. Injury. 2013; 44(10): 1333-9[DOI][PubMed]
  • 14. Young MJ, Barrack RL. Complications of internal fixation of tibial plateau fractures. Orthop Rev. 1994; 23(2): 149-54[PubMed]
  • 15. Lee JA, Papadakis SA, Moon C, Zalavras CG. Tibial plateau fractures treated with the less invasive stabilisation system. Int Orthop. 2007; 31(3): 415-8[DOI][PubMed]
  • 16. El Barbary H, Abdel Ghani H, Misbah H, Salem K. Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation. Int Orthop. 2005; 29(3): 182-5[DOI][PubMed]
  • 17. Krettek C, Gerich T, Miclau T. A minimally invasive medial approach for proximal tibial fractures. Injury. 2001; 32 Suppl 1-13[PubMed]
  • 18. Chin TY, Bardana D, Bailey M, Williamson OD, Miller R, Edwards ER, et al. Functional outcome of tibial plateau fractures treated with the fine-wire fixator. Injury. 2005; 36(12): 1467-75[DOI][PubMed]
  • 19. Egol KA, Tejwani NC, Capla EL, Wolinsky PL, Koval KJ. Staged management of high-energy proximal tibia fractures (OTA types 41): the results of a prospective, standardized protocol. J Orthop Trauma. 2005; 19(7): 448-55[PubMed]
  • 20. Singh S, Patel PR, Joshi AK, Naik RN, Nagaraj C, Kumar S. Biological approach to treatment of intra-articular proximal tibial fractures with double osteosynthesis. Int Orthop. 2009; 33(1): 271-4[DOI][PubMed]
  • 21. Su EP, Westrich GH, Rana AJ, Kapoor K, Helfet DL. Operative treatment of tibial plateau fractures in patients older than 55 years. Clin Orthop Relat Res. 2004; (421): 240-8[PubMed]
  • 22. Ali AM, Saleh M, Bolongaro S, Yang L. Experimental model of tibial plateau fracture for biomechanical testing. J Biomech. 2006; 39(7): 1355-60[DOI][PubMed]
  • 23. Krupp RJ, Malkani AL, Roberts CS, Seligson D, Crawford CH. 3rd., Smith L. Treatment of bicondylar tibia plateau fractures using locked plating versus external fixation. Orthopedics. 2009; 32(8)[DOI][PubMed]
  • 24. Parkkinen M, Madanat R, Mustonen A, Koskinen SK, Paavola M, Lindahl J. Factors predicting the development of early osteoarthritis following lateral tibial plateau fractures: mid-term clinical and radiographic outcomes of 73 operatively treated patients. Scand J Surg. 2014; 103(4): 256-62[DOI][PubMed]
  • 25. Sament R, Mayanger JC, Tripathy SK, Sen RK. Closed reduction and percutaneous screw fixation for tibial plateau fractures. J Orthop Surg (Hong Kong). 2012; 20(1): 37-41[PubMed]
  • 26. Smith WR, Ziran BH, Anglen JO, Stahel PF. Locking plates: tips and tricks. J Bone Joint Surg Am. 2007; 89(10): 2298-307[PubMed]
  • 27. Cole PA, Zlowodzki M, Kregor PJ. Treatment of proximal tibia fractures using the less invasive stabilization system: surgical experience and early clinical results in 77 fractures. J Orthop Trauma. 2004; 18(8): 528-35[PubMed]
  • 28. Stannard JP, Wilson TC, Volgas DA, Alonso JE. The less invasive stabilization system in the treatment of complex fractures of the tibial plateau: short-term results. J Orthop Trauma. 2004; 18(8): 552-8[PubMed]
  • 29. Horesh Z, Rothem DE, Lerner A, Soudry M. Treatment of complex tibial plateau fracture with ilizarov external fixation and minimal open surgical procedure. J Bone Jt Surg, Br Vol. 2008; 90: 514
  • 30. Karunakar MA, Egol KA, Peindl R, Harrow ME, Bosse MJ, Kellam JF. Split depression tibial plateau fractures: a biomechanical study. J Orthop Trauma. 2002; 16(3): 172-7[PubMed]
  • 31. Yoon YC, Oh JK, Oh CW, Sahu D, Hwang JH, Cho JW. Inside out rafting K-wire technique for tibial plateau fractures. Arch Orthop Trauma Surg. 2012; 132(2): 233-7[DOI][PubMed]
  • 32. Hasan S, Ayalon OB, Yoon RS, Sood A, Militano U, Cavanaugh M, et al. A biomechanical comparison between locked 3.5-mm plates and 4.5-mm plates for the treatment of simple bicondylar tibial plateau fractures: is bigger necessarily better? J Orthop Traumatol. 2014; 15(2): 123-9[DOI][PubMed]
  • 33. Westmoreland GL, McLaurin TM, Hutton WC. Screw pullout strength: a biomechanical comparison of large-fragment and small-fragment fixation in the tibial plateau. J Orthop Trauma. 2002; 16(3): 178-81[PubMed]
  • 34. Wu CC, Tai CL. Plating treatment for tibial plateau fractures: a biomechanical comparison of buttress and tension band positions. Arch Orthop Trauma Surg. 2007; 127(1): 19-24[DOI][PubMed]
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