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Related Experiment Video

Updated: May 11, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Comparison Between Conventional and Variable-Angle Locking Compression Plates in Complex Proximal Tibia Fractures.

Prashant P Singh¹, Sunil Kumar¹, Dinesh Kumar¹

¹Orthopedics, Uttar Pradesh University of Medical Sciences Saifai, Etawah, IND.

|October 14, 2024

Summary

This summary is machine-generated.

Variable-angle locking compression plates (VALCP) show promise for treating tibial plateau fractures, offering potentially better fixation and outcomes than conventional plates. Further research is needed to confirm statistically significant differences.

Keywords:

conventional fixed angled proximal tibia locking plate oxford knee scores rasmussen functional and radiological grading system schatzker’s classification tibial plateau fracture variable angle locking plate (valcp)

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Area of Science:

Orthopedic surgery
Traumatology
Biomedical engineering

Background:

Proximal tibial fractures, especially tibial plateau injuries, necessitate precise management to restore knee function and prevent long-term disability.
Variable-angle locking compression plates (VALCP) offer improved screw placement compared to fixed-angle plates, potentially enhancing fixation and outcomes.
Schatzker's classification is used to categorize tibial plateau fractures, guiding treatment strategies.

Purpose of the Study:

To compare the clinical, functional, and radiological outcomes of conventional locking compression plates (CLCP) versus VALCP for Schatzker's type I, II, and III tibial plateau fractures.
To evaluate the efficacy of VALCP in improving fixation, enabling early mobilization, and achieving favorable patient outcomes.

Main Methods:

A prospective study involving 60 patients with Schatzker's type I-III tibial plateau fractures, randomly assigned to CLCP or VALCP groups (30 patients each).
Outcomes assessed using the Oxford Knee Score (OKS) and Rasmussen's functional and radiological grading systems at six-month follow-up.
Surgical duration, fixation stability, and postoperative complications were monitored.

Main Results:

VALCP group showed slightly higher rates of excellent functional (60% vs 50%), radiological (80% vs 73.33%), and OKS (86.67% vs 73.33%) outcomes at six months.
Road traffic accidents were the primary cause of injury, particularly in the VALCP group (86.67%).
Complications were minimal in both groups, with 90% of VALCP patients experiencing none.

Conclusions:

VALCP appears to be a viable treatment for tibial plateau fractures, potentially improving fixation and facilitating early mobilization.
While VALCP demonstrated slightly better outcomes, the differences between VALCP and CLCP were not statistically significant in this study.
Limitations include a small sample size, short follow-up period, and fracture heterogeneity.