title: Triple plating of tibia in a complex bicondylar tibial plateau fracture.
abstract: High-energy tibial plateau fracture poses a significant challenge and difficulty for orthopaedic surgeons. Fracture of tibial plateau involves major weight bearing joint and may alter knee kinematics. Anatomic reconstruction of the proximal tibial articular surfaces, restoration of the limb axis (limb alignment) and stable fixation permitting early joint motion are the goals of the treatment. In cases of complex bicondylar tibial plateau fractures, isolated lateral plating is frequently associated with varus malalignment and better results have been obtained with bilateral plating through dual incisions. However sometimes a complex type of bicondylar tibial plateau fractures is encountered in which medial plateau has a biplaner fracture in posterior coronal plane as well as sagittal plane. In such fractures it is imperative to fix the medial plateau with buttressing in both planes. One such fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and anterolateral incisions is discussed in this case report with emphasis on mechanisms of this type of injury, surgical approach and management.
authors.affiliation: Department of Orthopaedics, Bokaro General Hospital, Bokaro, India.
authors.forename: Atin
authors.initials: A
authors.lastname: Jaiswal
authors.forename: Naiman-Deepak
authors.initials: ND
authors.lastname: Kachchhap
authors.forename: Yashwant S
authors.initials: YS
authors.lastname: Tanwar
authors.forename: Birendra
authors.initials: B
authors.lastname: Kumar
authors.forename: Sachin K
authors.initials: SK
authors.lastname: Yadav
mesh_terms: D000328:Adult; D001860:Bone Plates; D006801:Humans; D008297:Male; D013977:Tibia / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery*