surgical management of tibial plateau fractures with 3.5 mm simple plates

نویسندگان

abolfazl bagherifard bone and joint reconstruction research center, shafa orthopedic hospital, iran university of medical sciences, tehran, ir iran

mahmoud jabalameli bone and joint reconstruction research center, shafa orthopedic hospital, iran university of medical sciences, tehran, ir iran

hosseinali hadi bone and joint reconstruction research center, shafa orthopedic hospital, iran university of medical sciences, tehran, ir iran

mohammad rahbar bone and joint reconstruction research center, shafa orthopedic hospital, iran university of medical sciences, tehran, ir iran

چکیده

conclusions in this case series study, the fixation of different types of tibial plateau fractures with 3.5 mm simple non-locking and non-precontoured plates was associated with acceptable clinical, functional, and radiographic outcomes. based on the advantages and costs of these plates, the authors recommend using 3.5 mm simple plates for different types of tibial plateau fractures. results the mean :union: time was 13 ± 1.2 weeks. the mean knee range of motion was 116.8° ± 3.3°. the mean womac and lysholm scores were 83.5 ± 1.8 and 76.8 ± 1.6, respectively. on the early postoperative and final x-rays, 87.5% and 84% of patients, respectively, had acceptable reduction. medial proximal tibial and slope angles did not change significantly by the last visit. no patient was found to have complications related to the type of plate. background tibial plateau fractures can be successfully fixed utilizing 3.5 mm locking plates. however, there are some disadvantages to using these plates. objectives in the current prospective study, we investigated the outcome of treating different types of tibial plateau fractures with 3.5 mm simple plates which, to our knowledge, has not been evaluated in previous studies. materials and methods between 2011 and 2013, 32 patients aged 40 ± 0.2 years underwent open reduction and internal fixation for tibial plateau fractures with 3.5 mm simple plates. the patients were followed for 16.14 ± 2.1 months. at each patient’s final visit, the articular surface depression, medial proximal tibial angle, and slope angle were measured and compared with measurements taken early after the operation. the functional outcomes were measured with the womac and lysholm knee scores.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Surgical Management of Tibial Plateau Fractures With 3.5 mm Simple Plates

BACKGROUND Tibial plateau fractures can be successfully fixed utilizing 3.5 mm locking plates. However, there are some disadvantages to using these plates. OBJECTIVES In the current prospective study, we investigated the outcome of treating different types of tibial plateau fractures with 3.5 mm simple plates which, to our knowledge, has not been evaluated in previous studies. MATERIALS AND...

متن کامل

Arthroscopic management of tibial plateau fractures: surgical technique.

Tibial plateau fractures are serious articular fractures that are challenging to treat. Arthroscopy-assisted percutaneous fixation is the treatment of choice in Schatzker types 1, 2, 3, and 4 fractures, as it ensures optimal reduction and stable fixation consistent with early mobilisation. The most reliable fixation method seems to be percutaneous cannulated screw fixation, which is less invasi...

متن کامل

Surgical approaches for tibial plateau fractures.

Tibial plateau fractures are common yet complex injuries, and include a wide variety of fracture patterns. They are also potentially associated with significant soft tissue injury. Thus, the surgeon preparing to operate on one of these fractures must choose from a variety of surgical approaches that have been described. The choice of approach is dictated principally by the fracture pattern, wit...

متن کامل

Surgical management of tibial tubercle fractures in association with tibial plateau fractures fixed by direct wiring to a locking plate.

Tibial tubercle fractures disrupting the extensor mechanism of the knee can occur in association with complex tibial plateau fractures (AO type 41A, B, C). The management of these fractures can be difficult; a stable repair of the tibial tubercle fragment is essential if the extensor mechanism is to be reconstituted. There are few reported techniques described to manage tibial tubercle fracture...

متن کامل

Arthroscopic Management for Tibial Plateau Fractures

Twenty-one tibial plateau fractures with 1 to 5 years follow-up are reviewed for the purpose of demonstrating the positive impact arthroscopy can have on patients sustaining this injury. Controversy between open and nonopen management has existed for decades. Arthroscopy bridges that controversy, allowing the advantages of accurate reduction and rigid fixation without extensive operative exposu...

متن کامل

Management of soft tissue injuries associated with tibial plateau fractures.

Tibial plateau fractures or knee fracture-dislocations often result from trauma or sporting injuries. Given the subcutaneous position of the knee and upper tibia, without much intervening soft tissue, any such injury can be associated with significant soft tissue damage. Thus, consideration of the degree of soft tissue injury must be part of the treatment plan. Specific management decisions reg...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
trauma monthly

جلد ۲۱، شماره ۲، صفحات ۰-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023