{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:57:37Z","timestamp":1786373857479,"version":"build-2736575974"},"reference-count":26,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Background<\/jats:title>\n Bicondylar tibial plateau fractures are complex injuries that frequently involve a posteromedial fragment and carry a high risk of post-traumatic osteoarthritis. However, long-term outcome data on dual locking-plate fixation are limited, particularly in Southeast Asian populations.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The aim of this prospective study was to evaluate longitudinal clinical and imaging outcomes of bicondylar tibial plateau fractures managed with anterolateral and posteromedial locking plates via two mini-incisions.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This prospective study included 55 patients treated with open reduction and dual locking-plate fixation via anterolateral and posteromedial mini-incisions. Outcomes included radiographic parameters, clinical function and complications.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The mean age was 45.4 \u00b1 12.4 years; 60% of patients were male and motorcycle accidents accounted for 90.9% of injuries. Forty-five patients (81.8%) completed the 60-month assessment. Lateral plateau depression was reduced from 5.25 mm preoperatively to 1.00 mm postoperatively and was 2.17 mm at 5 years. KSS Knee peaked at 12 months (83.4 \u00b1 8.2) and was 78.9 \u00b1 8.8 at 5 years; the Rasmussen clinical score followed a similar trajectory. The overall complication rate was 23.6%, with a single deep infection (1.8%). Kellgren\u2013Lawrence grade \u2265 2 increased from 14.5% of injured knees at 12 months to 53.3% at 60 months. Schatzker VI was associated with smaller Rasmussen clinical improvement than Schatzker V (\u22122.09; p = 0.023).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Dual locking-plate fixation through two mini-incisions provides favorable clinical and functional outcomes up to 5 years for bicondylar tibial plateau fractures; however, progressive post-traumatic osteoarthritis remains a long-term concern warranting surveillance.<\/jats:p>\n <\/jats:sec>","DOI":"10.52965\/001c.165504","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T13:51:13Z","timestamp":1786369873000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-term outcomes of dual locking-plate fixation for bicondylar tibial plateau fractures via two mini-incisions: A prospective study"],"prefix":"10.52965","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7907-9999","authenticated-orcid":true,"given":"Ngoc Quyen","family":"Le","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/025kb2624","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Medicine and Pharmacy at Ho Chi Minh City","department":["Orthopedics, Trauma, and Rehabilitation Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6322-745X","authenticated-orcid":false,"given":"Khac Xuan","family":"Hoang","sequence":"additional","affiliation":[{"name":"Carmel International Hospital, Vietnam","department":["Orthopedics and Traumatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3541-9392","authenticated-orcid":false,"given":"Trong Xuan Cuong","family":"Tran","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/025kb2624","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Medicine and Pharmacy at Ho Chi Minh City","department":["Orthopedics, Trauma, and Rehabilitation Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"issue":"2","key":"ref1","doi-asserted-by":"publisher","first-page":"85","DOI":"10.47799\/pimr.1302.25.16","article-title":"A study of tibial plateau fracture management by surgical methods and their functional and radiological evaluation in tertiary care hospital","volume":"13","author":"C. 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