Bicolumnar Stabilization of Bicondylar Tibial Plateau Injuries: A Prospective Study of Combined Buttress Plate and Titanium Elastic Nail Fixation.

BACKGROUND

Bicondylar tibial plateau fractures are complex intra-articular injuries that require stable fixation and early mobilization. Bicolumnar fixation using a buttress plate combined with a titanium elastic nail system (TENS) aims to provide biomechanical stability while preserving soft-tissue integrity.

MATERIALS AND

METHODS

A prospective study was conducted on 60 adult patients with bicondylar tibial plateau fractures treated with bicolumnar fixation. Demographic data, operative parameters, clinical union, complications, and functional outcomes were analyzed.

RESULTS

The mean age of the patients was 37.4 ± 12.38 years. Clinical union was achieved in 36.7% of the patients. Significant differences were observed in operative time and blood loss between the sexes. Age and clinical union were significant predictors of the post-operative knee range of motion.

CONCLUSION

Bicolumnar fixation using a buttress plate and a TENS nail provides acceptable clinical and functional outcomes with stable fixation in bicondylar tibial plateau fractures.