Journal of AdvancedMedical and Dental Sciences Research

Background: Bicondylar tibial plateau fractures are complex injuries necessitating a restoration of both articular congruity. The present study was conducted to compare the single locked plating (SP) versus double plating (DP). Materials & Methods: 70 cases of type C tibial plateau fractures were divided into 2 groups of 35 each. Group I were treated with single locked plating (SP) and group II with double plating (DP). Outcome of the treatment was recorded and compared Results: Type of fracture was C1 in 15 and 16, C2 in 12 and 13, C3 in 8 and 6, soft tissue injury was Tscherne C0 in 13 and 9, Tscherne T1 in 10 and 12, Tscherne T2 in 7 and 8 and Tscherne T3 in 5 and 6. Average time of surgery (Days) was 8.2 and 9.0, mean operation time was 113.4 minutes and 136.2 minutes, mean reduction time was 45 minutes and 43 minutes in group I and group II respectively. Malalignment was seen in 4 in group I and 1 in group II, mal reduction in 3 in group I and 2 in group II and implant irritation 5 in group I and 6 in group II. Conclusion: Double plating through two incisions resulted in a better limb alignment and joint reduction. Key words: Bicondylar tibial plateau, Limb alignment, Joint reduction.