Unicondylar Plating in Schatzker V and VI Tibial Plateau Fractures: Balancing Stability with Soft Tissue Safety
Author : Dr. Pranil Yadav, Dr. Sandeep Gavhale, Dr. Sagar Jawale, Dr. Aravind Chanal, Dr. Ritesh Singh and Dr. Dilip Tammalwar
Abstract :
Introduction: Schatzker type V and VI proximal tibia fractures are complex injuries involving bicondylar articular disruption and metaphyseal comminution. While dual plating has traditionally been considered the gold standard, unicondylar plating has emerged as a biological alternative with reduced soft tissue complications.
Methods: This retrospective observational study was conducted at a tertiary care center and included 20 adult patients with Schatzker type V/VI proximal tibia fractures. All patients underwent open reduction and internal fixation with a unicondylar periarticular locking plate. Functional outcomes were assessed using Rasmussen and Knee Society Scores.
Results: All 20 patients achieved union, with an average healing time of 16.5 ± 1.2 weeks at final follow-up, Rasmussen scores were excellent in 9 (45%), good in 7 (35%), fair in 3 (15%), and poor in 1 (5%). Knee Society Scores showed good-to-excellent results in 80% of patients, with most regaining satisfactory pain relief and mobility. Mean postoperative knee range of motion was 0–118°. Complications included 2/20 patients (10%) had superficial infections managed conservatively and 1/20 patient (5%) had malunion with acceptable function. No deep infections, implant failures, or non-unions were observed.
Conclusion: Unicondylar plating provides satisfactory union and functional recovery in most Schatzker type V and VI proximal tibia fractures, with fewer wound complications than dual plating.
Keywords :
Proximal Tibia Fracture, Schatzker V, Schatzker VI, Unicondylar Plating, Rasmussen Score, Knee Society Score.
