Suprapatellar tibial nailing for tibial plateau fracture – 4 cases report

Abstract

Background: Internal fixation with open or minimally invasive plating techniques and circular or hybrid external fixation constructs have been used for the treatment of tibial plateau fracture, with conflicting results. Intramedullary nail fixation with or without supplemental screws produced similar clinical and radiographical results in some retrospective studies. Methods: Retrospective study of patients with tibial plateau fracture treated with tibial nailing combined with supplemental proximal screws/poller screws or plate. The patients were followed at regular intervals, and the results were assessed with the Lysholm Knee score.Results: Four patients were included with a range of age from 28-75 years old. Two patients had a Schatzker VI fracture (one with a segmental fracture with a diaphyseal fracture) and two patients a Schatzker V fracture A one year follow up was performed, with no complications, all with fracture consolidation and a Lysholm Knee Score with a range between 90-95.Conclusions: The combined use of intramedullary nailing and condylar screws can offer a reliable option for the treatment of tibial plateau fracture with satisfactory results.