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Dual Plating in Bicondylar Tibial Plateau Fractures: Clinical and Functional Outcomes in Retrospective Cohort Study


Authors : Dr. Danish Akhtar; Dr. Ankit Dadheech; Dr. Deepak Vyas

Volume/Issue : Volume 11 - 2026, Issue 4 - April


Google Scholar : https://tinyurl.com/2f5dat8f

Scribd : https://tinyurl.com/m85jypn

DOI : https://doi.org/10.38124/ijisrt/26apr1646

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Aim: The present retrospective study was undertaken to evaluate the clinical and functional outcomes of proximal tibial fractures managed with dual plating at RKDF MCH and RC, Bhopal, over the period from August 2024 to March 2025.  Objectives:  To assess precise anatomical restoration of the proximal tibial articular surface through operative intervention with internal fixation.  To evaluate radiological evidence of fracture union following fixation with dual plates.  To determine the clinical performance of this treatment approach by assessing knee joint range of motion, pain relief, and ability to resume normal daily and occupational activities.  Materials and Methods: 20 skeletally mature patients presenting with Schatzker type V or VI proximal tibial fractures, corresponding to AO Müller classification types 41 C1, 41 C2, and 41 C3, as well as Gustilo Anderson grade I and II compound injuries, were included.  Exclusion Criteria: Gustilo Anderson grade III compound fractures, pediatric fractures with intact growth plates, and pathological proximal tibial fractures other than those due to osteoporosis. All patients underwent open reduction and internal fixation with dual locking plates. Outcomes were assessed using the Honkonen–Järvinen criteria for clinical, functional, and radiological evaluation.

Keywords : Bicondylar Tibial Plateau Fractures; Dual Plating; Schatzker Type V and VI; Open Reduction and Internal Fixation; Functional and Radiological Outcomes; Locking Plate Fixation; Proximal Tibia.

References :

  1. Raj, M., Singh, S.K., Rajput, A.K., Gill, S.P., Verma, S.K., and Sonarkar, S.S. (2023). The Comparative Analysis of Single Plating Versus Double Plating in the Treatment of Unstable Bicondylar Proximal Tibial Plateau Fractures. Cureus 15. https://doi.org/10.7759/CUREUS.46840.
  2. Pattar, G., and Sagar, B. (2021). A prospective study of surgical management of Schatzker Type V (Bicondylar) & Type Vi tibial plateau fracture by dual plating. ~ 283 ~ International Journal of Orthopaedics Sciences 7, 283–292. https://doi.org/10.22271/ortho.2021.v7.i2d.2644.
  3. Rao, S.K.S., Mulla, M.A.M., Malik, D., and Usman, M. (2021). Dual plate osteosynthesis in bicondylar tibial plateau  fractures-case series. Int. J. Res. Orthop. 7, 848–853. https://doi.org/10.18203/ISSN.2455-4510.INTJRESORTHOP20212435.
  4. Kumar, T.D., Chamalla, D., Miryabbelli, S.B., and Ashok, M.S. (2021). A prospective study of surgical management of dual plating of bicondylar tibial plateau fracture. Int. J. Res. Orthop. 7, 241–247. https://doi.org/10.18203/ISSN.2455-4510.INTJRESORTHOP20210525.
  5. Raj, M., Gill, S.P.S., Rajput, A., Singh, K.S., and Verma, K.S. (2021). Outcome Analysis of Dual Plating in Management of Unstable Bicondylar Tibial Plateau Fracture - A Prospective Study. Malays. Orthop. J. 15, 29. https://doi.org/10.5704/MOJ.2111.005.
  6. Wang, Z., Wang, Y., Tian, S., Tan, Z., Deng, X., Zhao, K., Zheng, Z., Chen, W., Hou, Z., and Zhang, Y. (2021). Dual plating or dual plating combined with compression bolts for bicondylar tibial plateau fractures: a retrospective comparative study. Sci. Rep. 11, 7768. https://doi.org/10.1038/S41598-021-87510-6.
  7. Prasad, G.T., Kumar, T.S., Kumar, R.K., Murthy, G.K., and Sundaram, N. (2013). Functional outcome of Schatzker type V and VI tibial plateau fractures treated with dual plates. Indian J. Orthop. 47, 188–194. https://doi.org/10.4103/0019-5413.108915.
  8. Higgins, T.F., Klatt, J., and Bachus, K.N. (2007). Biomechanical analysis of bicondylar tibial plateau fixation: how does lateral locking plate fixation compare to dual plate fixation? J. Orthop. Trauma 21, 301–306. https://doi.org/10.1097/BOT.0B013E3180500359.
  9. Barei, D.P., Nork, S.E., Mills, W.J., Coles, C.P., Henley, M.B., and Benirschke, S.K. (2006). Functional outcomes of severe bicondylar tibial plateau fractures treated with dual incisions and medial and lateral plates. J. Bone Joint Surg. Am. 88, 1713–1721. https://doi.org/10.2106/JBJS.E.00907.

Aim: The present retrospective study was undertaken to evaluate the clinical and functional outcomes of proximal tibial fractures managed with dual plating at RKDF MCH and RC, Bhopal, over the period from August 2024 to March 2025.  Objectives:  To assess precise anatomical restoration of the proximal tibial articular surface through operative intervention with internal fixation.  To evaluate radiological evidence of fracture union following fixation with dual plates.  To determine the clinical performance of this treatment approach by assessing knee joint range of motion, pain relief, and ability to resume normal daily and occupational activities.  Materials and Methods: 20 skeletally mature patients presenting with Schatzker type V or VI proximal tibial fractures, corresponding to AO Müller classification types 41 C1, 41 C2, and 41 C3, as well as Gustilo Anderson grade I and II compound injuries, were included.  Exclusion Criteria: Gustilo Anderson grade III compound fractures, pediatric fractures with intact growth plates, and pathological proximal tibial fractures other than those due to osteoporosis. All patients underwent open reduction and internal fixation with dual locking plates. Outcomes were assessed using the Honkonen–Järvinen criteria for clinical, functional, and radiological evaluation.

Keywords : Bicondylar Tibial Plateau Fractures; Dual Plating; Schatzker Type V and VI; Open Reduction and Internal Fixation; Functional and Radiological Outcomes; Locking Plate Fixation; Proximal Tibia.

Paper Submission Last Date
31 - May - 2026

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