{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T19:47:51Z","timestamp":1785700071686,"version":"3.56.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Bicondylar fractures of the proximal tibia (Schatzker type V and VI) are challenging due to articular involvement and soft-tissue compromise. Conventional fixation risks malalignment, delayed rehabilitation, and soft-tissue complications. This study evaluated the clinical, radiological, and functional outcomes of Schatzker type V and VI fractures managed with a combination of Ender\u2019s nails and a proximal lateral tibial plate, providing a minimally invasive yet stable construct.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Thirty patients underwent fixation with Ender\u2019s nails and a lateral tibial plate. Follow-up included clinical and radiological assessments at 6 weeks, 3 months, and 6 months. Functional outcomes were measured using the Rasmussen scoring system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The cohort (26 males and 4 females) had a mean age of 42.9 years. Functional assessment showed mean pain and walking scores of 4.45 \u00b1 0.61 and 4.05 \u00b1 0.61, respectively, with an overall score of 21.65 \u00b1 2.96. Radiological evaluation showed mean scores of 2.30 \u00b1 0.57 for articular depression, 1.90 \u00b1 0.31 for condylar widening, 2.00 \u00b1 0.00 for alignment, and 0.56 \u00b1 0.00 for osteoarthrosis (total 6.70 \u00b1 1.26). Functional outcomes were excellent in 13.3%, good in 53.3%, and fair in 33.3%; radiological outcomes were excellent in 10%, good in 46.7%, fair in 40%, and poor in 3.3%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Hybrid fixation with Ender\u2019s nails and a lateral tibial plate provides stable management of Schatzker type V and VI fractures, with satisfactory radiological union, good functional recovery, and minimal soft-tissue complications. It is a viable alternative to dual plating.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_760_25","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T07:00:10Z","timestamp":1784185210000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of Bicondylar Fractures of Proximal Tibia with Ender\u2019s Nail and Proximal Lateral Tibial Plate"],"prefix":"10.4103","author":[{"given":"Rajkumar P.","family":"Sojitra","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Urja Hospital, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajendra Kumar","family":"Pipal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prahlad Ram","family":"Kalwan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seema","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharmendra Kumar","family":"Pipal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,15]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_760_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T18:56:48Z","timestamp":1785697008000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_760_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_760_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,15]]},"assertion":[{"value":"2025-11-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}