Long term functional outcome of operatively treated tibial plateau fractures.

Stevens, D.G.; Beharry, Rani; Jp, Waddell; Schemitsch, Emil H.

doi:10.1097/00005131-199905000-00043

Cited by 79 publications

(125 citation statements)

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“…These fractures often affect patients during the most productive years of their lives, with potentially devastating consequences. Especially in intra-articular fractures, inadequate treatment may result in joint instability and deformity coupled with a restricted range of motion [8,9]. Open reduction and rigid internal fixation, according to the principles of Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF), has been the treatment of choice for decades.…”

Section: Discussionmentioning

confidence: 99%

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Nikolaou

Tan

Haidukewych

et al. 2010

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Nikolaou

Tan

Haidukewych

et al. 2010

International Orthopaedics (SICOT)

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“…16,18 In comparison to younger patients, the outcome of tibial plateau fractures in patients over the age of 40 years is associated with poorer standardised health and disability ratings. 19 Schwartsman and co-workers drew attention to the problems related to patient self-assessment of treatment outcome and concluded that tibial plateau fractures in patients over the age of 50 years is likely to have an unsatisfactory objective outcome, even in the hands of experienced surgeons, regardless of the treatment method. 20 Several treatment options have been explored in older patients, including plating, nailing, minimally invasive osteosynthesis and total knee arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Marais

Ferreira

2018

SA orthop. j.

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Introduction: Tibial plateau fractures in the elderly pose significant treatment challenges because of coexisting medical problems, pre-existing degenerative joint disease and osteoporosis. While several studies have reported promising results with the use of circular external fixation, little data is available on its use in older patients. This study aims to compare the complications and union rate of circular external fixation in patients over the age of 55 years with that achieved in younger patients.

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“…Moreover, Gossling et al [12] discovered that internal fixation with locking plates, following the principles of minimally invasive percutaneous osteosynthesis, could provide satisfactory fracture reduction with good results regarding the midterm clinical outcome. Usually a locking plate is inserted providing a raft of proximal locking screws to support the articular surface, buttressing the lateral wall of the proximal tibia and extending distally to adequately support the construct [13] . Because the main goal of the treatment is to restore the congruence of the articular surface supporting the tibial plateau cartilage which is usually depressed, to fix the fracture with a stable device, and finally to allow early rehabilitation, the locking plate method can result in achieving main therapeutic goals with appropriate long-term surgical outcome [14] .…”

Section: Surgical Proceduresmentioning

confidence: 99%

Surgical outcome of tibial plateau fracture using minimally invasive technique with locking compression plate

Vishwanath¹,

Mummigatti²

2017

Int. J. Orthop. Sci.

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Introduction:The following study was conducted to examine the short term clinical and radiological results particularly early complications and healing rate of tibial plateau fractures treated with LCP by minimally invasive technique. Methodology: The study was conducted in patients treated for tibial plateau fractures (type 1 to 4 Schatzker classification) at Adhichunchangiri Institute of Medical Science, BG Nagar from the month of May 2011 to May 2016. Fifty tibial plateau fracture patients were taken into the study, all were fixed with LCP using minimally invasive technique. Patients' age ranged from 20 to 70 years with a mean of 45. Results: The sample consisted of twenty patients with 38 males and 12 were females. The patients' ages ranged from 20-70 years with a mean age of 45 years. The causes of fractures were motorvehicle accident in 36 patients and fall in 14 patients. There were no sports or industrial accidents. 31 fractures involved the right side and 19 involved the left. The average length of hospitalisation was 12 days with a range of 7 to 20 days. The average number of days from injury to surgery was 5 days with a range of 2 to 10 days. The operative time ranged from 45 minutes to 100 minutes. Patients were followed up from 01 to 24 months. Functional outcome was rated as per NEER'S RATING SCORE, we got excellent results in 24 cases, good in 15, fair in 08 and poor in 03 patients. Conclusion: Treatment of tibial plateau fractures using LCP provides good results. Since we have used minimally invasive technique soft tissue damage is minimal thus promoting good healing of fracture and less infection rates. Our early results were encouraging but long term studies are needed to prove definitively acceptable outcomes so that the technique can become part of the in the armamentarium of the orthopaedic trauma surgeon. Keywords: Tibial plateau fracture, Schatzker classification, Minimally invasive technique, Locking Compression Plate, NEER'S Rating Score IntroductionTibial plateau fractures are on a raise due to increased incidence of road traffic accidents and also at the same time the surgical management for the same are also being modified continuously [1] . The luxuries of our life in the present time is at the cost of rapidly increasing industrialization, urbanization and mechanisation -so also the traumatic cases are on increase. Crowded cities, irregular traffic arrangement, fast moving vehicles are the most important contributory factors causing bony injuries, particularly polytrauma, comminuted fractures and also the soft tissue injury [2] . Tibial plateau fracture is one of them. Tibial plateau fractures have been studied and reported extensively and exhaustively but still controversy exists over its management, whether surgical or conservative. Even undisplaced tibial plateau fractures should be operated, so that early mobilization of knee is possible [1] .

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Long term functional outcome of operatively treated tibial plateau fractures.

Cited by 79 publications

References 0 publications

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Proximal tibial fractures: early experience using polyaxial locking-plate technology

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Surgical outcome of tibial plateau fracture using minimally invasive technique with locking compression plate

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