الفهرس 
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Abstract
Bicondylar tibial plateau fractures can be difficult to treat due to the extent of articular cartilage, metaphyseal bone, and soft tissue injury.
The purpose of this study was to evaluate whether using locking plate applied through a single, lateral incision of such fractures provide an acceptable treatment outcomes with less complications.
Between 2010 and 2012, 30 patients were admitted to our hospital, with a bicondylar tibial plateau fracture. All fractures were classified as Schatzker V/VI or AO/OTA type 41C. 6 of them sustained an open fracture. All patients were treated with locking plate applied through a single, lateral incision.
Radiographic evidence of union was observed at 5 months (range 3 to 10 months). One non-union was observed (3.3%), requiring revision surgery. Malunion occurred in 4 (13%); 2 cases had ˃5° varus malalignment and 2 cased had articular depression.
There was 2 cases (6.7%) of deep infection treated by debridement and 1 case ended in painful stiff knee.
Knee function was performed at the final follow up according to Hospital for Special Surgery knee score (HSS score) and the results are satisfactory, with over 80% of patients gaining excellent or good results.
Compared to previously reported series of conventional ORIF and external fixation; using locking plate applied through a single, lateral incision of such fractures was associated with satisfactory clinical and radiographic results and limited complications.
Conclusion:
Using locking plate applied through a single, lateral incision offers a good treatment option for difficult bicondylar tibial plateau fractures.