Thank you for your letter, I entirely appreciate that this is considered controversial by most orthopaedic surgeons accordingly I am delighted by interest and letter. I hope I can explain the points.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Injury
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The posterior shearing tibial plateau fracture: treatment and results via a posterior approach.J Orthop Trauma. 2005; 19: 305-310
- Fracture pattern and fixation type related to loss of reduction in bicondylar tibial plateau fractures.Injury. 2012; 43: 864-869https://doi.org/10.1016/j.injury.2011.10.035
Published online: January 12, 2023
© 2023 Elsevier Ltd. All rights reserved.
ScienceDirectAccess this article on ScienceDirect
- Single versus dual incision approaches for dual plating of bicondylar tibial plateau fractures have comparable rates of deep infection and revision surgeryInjuryVol. 53Issue 10
- PreviewBicondylar tibial plateau fractures (AO/OTA 41-C) are high-energy injuries that are challenging to manage due to the combined complex bony and soft tissue injury [1,2]. As a result surgical treatment has been associated with high rates of infection and overall complications [3–5]. While unilateral locking implants may be able to control some fracture patterns  mechanical support of unstable bicondylar tibial plateau (BTP) fractures often requires dual plating to maintain axial alignment and prevent fixation failure .
- Letter to the Editor “Decoding the myth regarding approaches in bicondylar tibial plateau fractures” by Theodore T. Guild, Derek S. Stenquist, Caleb M. Yeung, Mitchel B. Harris, Arvind G. Von Keudel, R. Malcolm Smith. July, 2022, Injury DOI:https://doi.org/10.1016/j.injury.2022.07.037InjuryVol. 54Issue 2
- PreviewWe read the article “Single versus dual incision approaches for dual plating of bicondylar tibial plateau fractures have comparable rates of deep infection and revision surgery” by Guild et al., with great interest . The article has meticulously explained how a single incision dual plating can be performed, in a bicondylar tibia plateau fracture, and has a lower infection rate than hitherto reported. However, as readers, we feel the undermentioned points need to be explained in detail for better understanding.