Table of Contents
ISRN Orthopedics
Volume 2014, Article ID 324573, 6 pages
Clinical Study

Comparison of Functional Outcomes of Tibial Plateau Fractures Treated with Nonlocking and Locking Plate Fixations: A Nonrandomized Clinical Trial

Department of Orthopedics, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan 8174673461, Iran

Received 2 January 2014; Accepted 18 February 2014; Published 16 March 2014

Academic Editors: A. Leithner, T. Matsumoto, and Y. Yeni

Copyright © 2014 Mohammad Ali Tahririan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Fixation of tibial plateau fractures with plate has been widely used. This prospective study was planned to compare locking plate fixation of tibial plateau fracture with nonlocking methods in terms of their functional outcomes. The subjects of the study were selected from consecutive patients suffering from tibial plateau fractures referred to Kashani Hospital in Isfahan, Iran, between 2012 and 2013 and were candidate for surgery. The final included patients were assigned to two groups, those who were treated with locking plate ( ) and those who were treated with nonlocking plates ( ). The mean duration of follow-up was 13.4 months (ranging between 10 and 17 months). The mean of knee scores was significantly higher in locking plate group than in nonlocking plate group at the follow-up time ( versus , ). Also, the mean VAS pain severity score was significantly lower in locking plate group compared with nonlocking plate group ( versus , ). This study confirmed superiority of the locking plate method over nonlocking plate method with regard to knee score as well as VAS pain score.