title: Treatment of Schatzker Type V and VI Tibial Plateau Fractures Using a Midline Longitudinal Incision and Dual Plating.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the results of the treatment of Schatzker type V and VI tibial plateau fractures using a midline longitudinal incision and dual-plate fixation.
  
  
  METHODS
  Ten patients with Schatzker type V and VI tibial plateau fractures treated with a midline longitudinal incision and dual plating were analyzed. The patients were followed for a minimum of one year. Clinical outcomes were evaluated using range of motion, visual analogue scale (VAS) and Knee Society Score. Radiological outcomes were evaluated using the bony union time, medial proximal tibial angle (MPTA) and posterior proximal tibial angle (PPTA).
  
  
  RESULTS
  The mean VAS score was 2.2 points, and the mean Knee Society function score was 85 points at the final follow-up. The mean flexion contracture was 2.5° and the mean further flexion was 125°. It took an average of 4 months until bony union occurred. The mean MPTA and PPTA were 90.5° and 4.4°, respectively. There was one case of delayed wound healing, but no other complications were observed.
  
  
  CONCLUSIONS
  The treatment of Schatzker type V and VI tibial plateau fractures with a midline longitudinal incision and dual-plate fixation resulted in satisfactory clinical and radiological outcomes. This can be an option when treating Schatzker type V and VI tibial plateau fractures.
authors.affiliation: Department of Orthopaedic Surgery, Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
authors.forename: Kye-Youl
authors.initials: KY
authors.lastname: Cho
authors.forename: Hyun-Sup
authors.initials: HS
authors.lastname: Oh
authors.forename: Jae-Ho
authors.initials: JH
authors.lastname: Yoo
authors.forename: Duk-Hyun
authors.initials: DH
authors.lastname: Kim
authors.forename: Young-Joo
authors.initials: YJ
authors.lastname: Cho
authors.forename: Kang-Il
authors.initials: KI
authors.lastname: Kim
keywords: Dual-plate fixation; Midline longitudinal incision; Schatzker type V; Schatzker type VI; Tibial plateau fracture