COMBINED NAIL AND PLATE FIXATION FOR PROXIMAL TIBIA AND TIBIAL PLATEAU FRACTURES
Main Article Content
Keywords
Kirschner wire (K-wire), Computed tomography (CT), Intramedullary nailing(IMN)
Abstract
ABSTRACT:
Proximal tibia and 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. This technique alleviates the need for a separate medial approach to the proximal tibia. We report a series of patients treated with this approach.
METHODS:
we performed prospective cohort study of 3 consecutive patients treated with combination of lateral locked plating and intramedullary nailing at a single academic institution from 2024 to 2025. Two patients had SCHATZKER IV and one had VI type fractures.
RESULTS: Primary outcomes included good alignment of fractures in both sagittal and coronal plane and maintenance of articular congruity, without postoperative infection. There was no radiographic evidence of articular subsidence at latest follow up for any patient.
CONCLUSION: The results of our case series, early weight-bearing after nail-plate fixation may be a safe and viable alternative for patients who sustain complex proximal tibia and shaft-plateau combination injuries.
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Dr. K. Santhosh Kumar Raju
Assistant professor, Department of Orthopaedics, Sri Balaji Medical College, Tirupati, AP, India
Dr. Mahesh Kumar Dindivanam
Assistant professor, Department of Orthopaedics, Sri Balaji Medical College, Tirupati, AP, India
Dr. Madamanchi Harsha
Assistant professor, Department of Orthopaedics, Sri Balaji Medical College, Tirupati, AP, India
Dr. Papakunna Poojitha
Senior Resident, Sri Balaji Medical College, Tirupati, India.