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· DOS Abstracts
Rates of complications in lateral vs. dual plating in
tibial plateau fractures
Kathrine Rasch, Jens-Christian Beuke, Frank Damborg
Ortopædkirurgisk afdeling, Esbjerg; Ortopædkirurgisk afdeling, Aabenraa; or-
topædkirurgisk afdeling, Kolding
Background:
Previous studies have shown a preponderance of deep infections
and lack of healing in the dual plating treatment, compared to lateral plating in
tibial plateau fractures.
Purpose / Aim of Study:
To compare the number of complications after os-
teosynthesis of tibial plateau fractures by dual plating vs. isolated lateral plating.
Materials and Methods:
We performed a retrospective cohort study of all
patients at Kolding hospital that underwent ORIF for proximal tibia fractures by
lateral or dual plating during all of 2010 through 2014. Data was collected by
electronic journal review including radiology, physiotherapy and final ambulatory
appointment. 107 patients were identified. 18 patients were excluded. Of the
remaining 89 patients 11 were treated with dual plating. The mean follow-up
time was 10.4 months. We compared both major complications (deep infec-
tion, insufficient osteosynthesis, Non-union, post-traumatic arthrosis and other
serious complications) and minor complications (superficial infection, wound
healing problems, discomfort from implanted material and arthroscopy surgery)
between the two groups.
Findings / Results:
We found no significant differences in the number of mi-
nor and major complications between the two groups. We found a high overall
complication rate of 45% compared to earlier studies. Excluding the patients
re-operated due to discomfort from the implanted material the rate drops to
37%. For major complications alone, the rate is 21.3%. The deep infections rate
(n=4) is 4.5% which equals the rate found in other studies.
Conclusions:
Operating a tibial plateau fracture with plating comes with a high
risk of complications. Deep infections overall are rare. We observed a high rate
of overall complications but no differences between the two groups.
No conflicts of interest reported
122.