Treatment of Complex Tibial Plateau Fractures Using the Less Invasive Stabilization System Plate: Clinical Experience and a Laboratory Comparison with Double Plating

Egol, Kenneth A.; Su, Edward T.; Tejwani, Nirmal C.; Sims, Stephen H.; Kummer, Frederick J.; Koval, Kenneth J.

doi:10.1097/01.ta.0000112326.09272.13

Cited by 153 publications

(122 citation statements)

References 19 publications

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“…Phisitkul et al [15] reported immediate postoperative and delayed loss of alignment in 22% and 8% of cases, respectively, when lateral LISS plate was used in similar fractures. Egol et al [19] published a laboratory study comparing dual plating with a single lateral LISS plate. After cyclical loading, they showed a significant difference in inferior displacement of the medial fragment, with an average of 9.6 mm for the LISS group compared with 4.9 mm for the dual-plating group (p=0.05).…”

Section: Discussionmentioning

confidence: 99%

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Nikolaou

Tan

Haidukewych

et al. 2010

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Nikolaou

Tan

Haidukewych

et al. 2010

International Orthopaedics (SICOT)

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“…Laboratory studies of locking plate constructs have shown superior fixation compared to standard compression plates for tibial and femoral metaphyseal and diaphyseal fractures [11,12]. In a biomechanical study, Korner et al demonstrated that both two standard reconstruction plates and two pre-contoured locking plates provide adequate fixation in an extra-articular distal humerus model [7].…”

Section: Introductionmentioning

confidence: 99%

Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate

Capo

Debkowska

Liporace

et al. 2013

International Orthopaedics (SICOT)

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Purpose The locking compression extra-articular distal humerus plate (EADHP) is an anatomically shaped, angular stable single-column fixation system for distal third humerus fractures. The purpose of this retrospective study was to evaluate clinical and radiographic outcomes after open reduction and internal fixation of distal humerus fractures with this device. Methods Twenty-one consecutive patients with distal humerus fractures were treated with the EADHP system between February 2006 and June 2012. Of these, 19 were clinically and radiographically evaluated after a mean follow-up of 10.4 months. Follow-up assessment included anteroposterior and lateral radiographs, assessment of range of motion (ROM), pain according to a visual analogue scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) score. Results All fractures demonstrated satisfactory reduction and healing at an average of 7.3 months. One patient showed postoperative sensory ulnar neuropathy that recovered completely, and nine patients had a preoperative radial nerve palsy, which recovered spontaneously following exploration and plating. Mean post-operative ROM was as follows: flexion 126°, extension −7°, pronation 82°and supination 83°. The VAS score was zero points in eight patients, while the mean DASH score was 25.8 points.Conclusions For extra-articular distal humerus fractures, including high-energy injuries often seen in gunshot wounds or motor vehicle injuries, the anatomically shaped angular stable single-column plate provides satisfactory clinical and radiographic results and serves as a valuable tool in the treatment of these injuries.

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“…The surgical approach and number of incisions are reported to have an effect on the incidence of soft tissue complications following repair of tibial plateau fractures [18]. With LISS fixation, it is reported to range from 0 to 22% [19,20]. As regards dual plating fixation of bicondylar tibial plateau fractures, papers reporting the results of dual plating through a single extensile incision had shown an incidence of deep wound infection of 23-88% [18,21].…”

Section: Discussionmentioning

confidence: 99%

Does single locked plating provide a standard treatment Modality for bicondylar tibial plateau fractures? A prospective study

Youssef¹,

Nagi²,

Senna³

et al. 2017

J Rheumatol Orthop

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Background: Bicondylar tibial plateau fractures present a therapeutic challenge to the orthopaedic trauma surgeon, both in terms of the osseous injury as well as the concomitant soft-tissue insult. Double Plating with single incision or dual incisions provide more insult to the compromised soft tissue. However, single locking plate combines the technical advantages of an angular stable plate with those of the modern biological plating technique. Methods: The Study was held at Razi Orthopedic hospital in Kuwait. Between May 2012 and November 2013, 20 patients with a mean age of 37.65 years (Range from 24-57 years) with bicondylar tibial plateau fractures with or without metaphyseal extension. Patients were diagnosed clinically, checked with standard X-rays, CT was done for all cases. Patients were treated by single lateral anatomically contoured locked plate through LISS or Polyaxial locking plate systems with or without additional screws from medial side. Radiological evaluation and functional assessment was done according to the Rasmussen Knee score. Patients were followed-up for an average of 12 months. Results: Union was achieved in all patients with a mean knee range of motion of 1.5°-130° (range: 0°-10° for extension lag, range: 100°-135° for flexion). The mean Functional Rasmussen Knee score at 6 month follow up (25.32±1.53 SD) ranged from (23.0-28.0). The mean Functional Rasmussen Knee score at last follow-up was (28.33±1.57 SD) ranged between (25.0-30.0) with significant P value (P value<0.001). The mean Anatomical Rasmussen Knee score at 6 month follow up (16.11±1.56 SD) ranged from (14.0-18.0). The mean Anatomical Rasmussen Knee score at last follow-up was (16.67±1.37 SD) ranged from (14.0-18.0) with insignificant P value (P value 0.096 ). Of the 20 patients, one patient had wound related problems, one patient had preoperative compartment syndrome, one patient suffered from hardware irritation and one patient had fixation failure upon which revision with double plating done for him. Conclusions: Surgical treatment of bicondylar tibial plateau fractures with the single lateral locked plate that was evaluated in our study can lead to a good functional and anatomical outcome and considered an effective system for providing fracture stabilization provided that the correct surgical technique is used. Awareness of potential hardware complications is essential. Level of Evidence: Level IV, Prospective Therapeutic Study

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Treatment of Complex Tibial Plateau Fractures Using the Less Invasive Stabilization System Plate: Clinical Experience and a Laboratory Comparison with Double Plating

Abstract: The L.I.S.S plating system provides stable fixation of complex bicondylar tibial plateau fractures allowing early range of knee motion with favorable clinical results.

Cited by 153 publications

References 19 publications

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate

Does single locked plating provide a standard treatment Modality for bicondylar tibial plateau fractures? A prospective study

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