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Combined Plate and Nail Fixation of Bicondylar Tibial Plateau Fractures by David J. Wright; Brent Etiz; John A. Scolaro is a Medicine article available to read on EtoBox.

What is Combined Plate and Nail Fixation of Bicondylar Tibial Plateau Fractures about?

## Introduction: Bicondylar tibial plateau fractures with meta-diaphyseal comminution commonly have a compromised soft tissue envelope. combined plate-nail fixation is an emerging technique that utilizes a limited anterolateral approach for plate application and percutaneous incisions for placement of an intramedullary nail. this technique alleviates the need for a separate medial approach to the proximal tibia. we report a series of patients treated with this approach and outline the steps for implementation. ## Methods: We performed a retrospective review of 18 consecutive patients treated with combination lateral locked plating and intramedullary nailing at a single academic institution from 2016 to 2019. of these, 16 patients met inclusion criteria and were included in this study. all patients had ao/ota type 41c2/c3 fractures. primary outcomes included coronal plane and sagittal plane alignment at latest follow up, rate of articular subsidence at latest follow up, and rate of postoperative infection. ## Results: Of the 16 patients included, average followup was 8.2 months (range 0.1-29.7 months). at latest follow-up, average coronal alignment ranged from 0.8±1.2 degrees of var

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Author

David J. Wright; Brent Etiz; John A. Scolaro

Publisher

Elsevier BV

Published

2021

Language

EN

Field

Medicine (Health Sciences)