Hyperextension Varus Bicondylar Tibial Plateau Fracture Pattern

Abstract

Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.

Clinical features and treatment of “Non-dislocated hyperextension tibial plateau fracture”

“…However, for fracture-dislocation type tibial plateau fractures, the pTSA always does not change, so we think it is more accurate to use “non-dislocated hyperextension tibial plateau fracture” to describe these hyperextension tibial plateau fracture which was mainly bone structure changes. According to the violence direction, hyperextension tibial plateau fractures are usually divided into simple hyperextension fractures, hyperextension varus fractures, and hyperextension valgus fractures [ 6 ]; according to the fracture line position, it can be divided into simple anterior compression fracture, anterior compression fracture with fracture line extending to the posterior cortical bone, and anterior compression fracture with posterior fracture fragment displacement [ 11 ]. The classification according to violence direction is more universal because it can guide treatment protocol.…”

“…In 2009, Jae HY et al [5] reported one case report about "anterior compression of the tibial plateau." Reza Firoozabadi et al [6] reported 25 cases of "hyperextension varus bicondylar tibial plateau fracture (HVBT)" in 2016. However, there is currently no clear definition of hyperextension tibial plateau fracture, and the previous literature reports mostly describe one of these types of features.…”

“…Hyperextension tibial plateau fracture is rare in clinical practice. In 2001, Chiba et al [ 4 ] firstly described 12 cases of “posterolateral knee injuries with anterior medial compression fractures of the tibial plateau.” In 2009, Jae HY et al [ 5 ] reported one case report about “anterior compression of the tibial plateau.” Reza Firoozabadi et al [ 6 ] reported 25 cases of “hyperextension varus bicondylar tibial plateau fracture (HVBT)” in 2016. However, there is currently no clear definition of hyperextension tibial plateau fracture, and the previous literature reports mostly describe one of these types of features.…”

Comparison between computed tomography and magnetic resonance imaging in clinical diagnosis and treatment of tibial platform fractures

“…According to a clinical study, complicated tibial plateau fractures with increased intra-articular density ( i.e . a fluid-liquid plane demonstrating the clinical need of nuclear magnetic resonance examination), knee injury, bone marrow cavity and torn periosteum tissue with fat and blood exudates in the joint in some patients can directly reflect the degree of knee injury[ 15 ]. Based on the principle of chemical imaging, MRI is more sensitive to changes in water molecules, and its soft tissue resolution and display efficiency are better than those of CT.…”

Surgical Management of Bicondylar Tibia Fractures

“…Переломы мыщелков большеберцовой кости (ББК) достаточно часто встречаются в условиях крупного города, составляя 6-10% всех внутрисуставных переломов нижних конечностей [2,7,15,17]. Двухмыщелковые переломы происходят в основном у молодых пациентов, являются следствием высокоэнергетической травмы и сопровождаются значительным повреждением мягких тканей в области коленного сустава, что обусловливает высокий процент послеоперационных осложнений [3,10,13]. На современном этапе развития травматологии превалирующим методом лечения переломов мыщелков ББК является хирургический, однако проблема стабильного функционального остеосинтеза двухмыщелковых переломов пока не решена [8,24].…”