Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study

Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study

Abstract The aim of this study was to compare secondary loss of reduction outcomes in dual plating fixation and dual plating combined with compression bolt fixation for bicondylar tibial plateau fractures (TPFs). We performed a retrospective study from January 2015 to April 2019. A consecutive serie...

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Autores principales: Zhongzheng Wang, Yuchuan Wang, Siyu Tian, Zhanchao Tan, Xiangtian Deng, Kuo Zhao, Zhanle Zheng, Wei Chen, Zhiyong Hou, Yingze Zhang
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/53194e5e7af4451fbfbdd5cbf7e1aed4
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spelling oai:doaj.org-article:53194e5e7af4451fbfbdd5cbf7e1aed42021-12-02T14:21:11ZDual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study10.1038/s41598-021-87510-62045-2322https://doaj.org/article/53194e5e7af4451fbfbdd5cbf7e1aed42021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87510-6https://doaj.org/toc/2045-2322Abstract The aim of this study was to compare secondary loss of reduction outcomes in dual plating fixation and dual plating combined with compression bolt fixation for bicondylar tibial plateau fractures (TPFs). We performed a retrospective study from January 2015 to April 2019. A consecutive series of 72 bicondylar TPFs underwent surgical treatment and was divided into two groups: group 1 (dual plating, n = 46) and group 2 (dual plating combined with compression bolts, n = 26). The outcomes collected included demographic characteristics, imaging characteristics, intraoperative indicators, clinical outcomes and reduction quality after surgery. Functional outcome was rated according to the Hospital for Special Surgery (HSS) score and Lysholm score. The secondary loss of reduction rate in group 2 was reduced compared with that in group 1 (P = 0.025), and the mean HSS score of group 2 was higher than that of group 1 (P = 0.013). The rate of complications was 30.4% (14/46) in group 1 and 30.8% (8/26) in group 2 (P = 0.976). Compared with single dual plating fixation, dual plating combined with compressing bolt fixation reduced the secondary loss of reduction rate for patients with bicondylar TPFs and showed better functional outcomes.Zhongzheng WangYuchuan WangSiyu TianZhanchao TanXiangtian DengKuo ZhaoZhanle ZhengWei ChenZhiyong HouYingze ZhangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Zhongzheng Wang
Yuchuan Wang
Siyu Tian
Zhanchao Tan
Xiangtian Deng
Kuo Zhao
Zhanle Zheng
Wei Chen
Zhiyong Hou
Yingze Zhang
Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study
description Abstract The aim of this study was to compare secondary loss of reduction outcomes in dual plating fixation and dual plating combined with compression bolt fixation for bicondylar tibial plateau fractures (TPFs). We performed a retrospective study from January 2015 to April 2019. A consecutive series of 72 bicondylar TPFs underwent surgical treatment and was divided into two groups: group 1 (dual plating, n = 46) and group 2 (dual plating combined with compression bolts, n = 26). The outcomes collected included demographic characteristics, imaging characteristics, intraoperative indicators, clinical outcomes and reduction quality after surgery. Functional outcome was rated according to the Hospital for Special Surgery (HSS) score and Lysholm score. The secondary loss of reduction rate in group 2 was reduced compared with that in group 1 (P = 0.025), and the mean HSS score of group 2 was higher than that of group 1 (P = 0.013). The rate of complications was 30.4% (14/46) in group 1 and 30.8% (8/26) in group 2 (P = 0.976). Compared with single dual plating fixation, dual plating combined with compressing bolt fixation reduced the secondary loss of reduction rate for patients with bicondylar TPFs and showed better functional outcomes.
format article
author Zhongzheng Wang
Yuchuan Wang
Siyu Tian
Zhanchao Tan
Xiangtian Deng
Kuo Zhao
Zhanle Zheng
Wei Chen
Zhiyong Hou
Yingze Zhang
author_facet Zhongzheng Wang
Yuchuan Wang
Siyu Tian
Zhanchao Tan
Xiangtian Deng
Kuo Zhao
Zhanle Zheng
Wei Chen
Zhiyong Hou
Yingze Zhang
author_sort Zhongzheng Wang
title Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study
title_short Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study
title_full Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study
title_fullStr Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study
title_full_unstemmed Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study
title_sort dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/53194e5e7af4451fbfbdd5cbf7e1aed4
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