Split fractures of the lateral tibial plateau: evaluation of three fixation methods.

Abstract:

:A laboratory study was performed to compare the stability and ultimate strength of three standard fixation techniques for split-type lateral tibial plateau fractures. The three methods of fixation were (a) three 6.5-mm cancellous lag screws with washers; (b) two 6.5-mm cancellous lag screws with washers and an additional antiglide 4.5-mm cortical screw with washer; and (c) six-hole L-shaped buttress plate. Twelve pairs of embalmed mildly osteopenic lower extremities were used. Simulated split-type lateral tibial plateau fractures were created, reduced, and then instrumented in a matched pair design. The instrumented specimens were axially loaded to determine resistance to displacement, cyclically loaded to 10,000 cycles to determine dynamic stability, and then loaded to failure. There were no statistically significant differences found between resistance to displacement or failure strength as a function of either fragment size or sample bone density. On the basis of biomechanical stability, there appears to be no difference between the three fixation techniques tested. The results of this study suggest that use of an antiglide screw or buttress plate does not offer an advantage over lag screw fixation alone for the treatment of split type lateral tibial plateau fractures.

journal_name

J Orthop Trauma

authors

Koval KJ,Polatsch D,Kummer FJ,Cheng D,Zuckerman JD

doi

10.1097/00005131-199607000-00003

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

304-8

issue

5

eissn

0890-5339

issn

1531-2291

journal_volume

10

pub_type

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