Home > Journals > Minerva Ortopedica e Traumatologica > Past Issues > Minerva Ortopedica e Traumatologica 2014 April;65(2) > Minerva Ortopedica e Traumatologica 2014 April;65(2):171-8





A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
Indexed/Abtracted in: EMBASE, Scopus, Emerging Sources Citation Index




Minerva Ortopedica e Traumatologica 2014 April;65(2):171-8

language: English

Cortical 3.5-mm screws in tibial plateau fracture surgery

Jabal-Ameli M. 1, Masdari Z. 2, Radi M. 1, Hadi H. A. 1, Mokhtari T. 3

1 Department of knee surgery, Shafa Orthopedic Hospital, Tehran, Iran;
2 Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran;
3 Department of Orthopedic Research, Shafa Orthopedic Hospital, Tehran, Iran


AIM: The aim of this study was to assess functional and radiologic results of tibial plateau fracture ORIF with subchondral cortical 3.5-mm raft screws compared with cancellous 6.5-mm screws.
METHODS: Between 2007 to 2011 we have retrospectively reviewed functional and radiological outcomes of 48 treated tibial plateau fractures with ORIF in Shafa-Yahyaian Hospital. All fractures were classified according to Schatzker classification. There were two Schatzker type I, 25 type II, one type III, 10 type IV, 8 type V and two type VI. Complication rate including infection, deep vein thrombosis and skin breakdown was low. In 42 cases, in which subchondral rafting screws were used, two groups were identified: 25 cases of cancellous 6.5-mm and 17 cases of cortical 3.5-mm screws. Patients were followed for a mean of 24 months.
RESULTS: Functional outcomes based on WOMAC Score, showed no difference between the two groups. At two-year follow-up, Ahlback Score was statistically different in the two groups in favor of using cortical 3.5 screws.
CONCLUSION: Our results confirm previous studies, reporting better results with multiple smaller subchondral raft screws in the treatment of tibial plateau fractures.

top of page

Publication History

Cite this article as

Corresponding author e-mail