Özet:

Aim Despite advances in operation techniques and implant technology, there is still no consensus on both pre-operative planning and post-operative follow-up of tibial plateau fractures. The aim of this study is to evaluate the clinical and radiological functional results of bicondylar tibia plateau fractured patients treated in Ankara Numune Training and Research Hospital Orthopedic Clinic. Material and Method The mean follow-up duration of 24 retrospectively determined patients was 33.1 months. Patients were divided into two groups as patients with single or double plate. The demographic characteristics of the two groups, fracture mechanisms and fracture types were determined. Functional outcomes were determined by using Rasmussen clinical and radiological scoring systems. Results There was no functional or radiological difference between the two groups (p>0,05). Rasmussen clinical scores and radiological scores were found statistically compatible (p=0,001). Both surgical techniques can be used as an option in bicondylar tibia plateau fractures. However, in patients with double plate, soft tissue infection was seen more frequently, whereas in patients who only have lateral plate, the presence of more collapse on the joint surface may affect surgical preferences. Conclusion Detailed clinical and radiological analysis and preoperative planning are crucial in determining the appropriate surgical technique so that the expected functional results can be obtained.

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