Minimally invasive and open surgical treatment of proximal tibia fractures using a polyaxial locking plate system: a prospective multi-centre study

Jöckel, Jens Arne; Erhardt, Johannes; Vincenti, Miscia; Reissig, Jörg; Hoffmann, Reinhard; Husain, Baher; Täger, G.; Partenheimer, A.; Lill, Helmut; Gebhard, Florian; Röderer, Götz

doi:10.1007/s00264-013-1820-x

Cited by 18 publications

(21 citation statements)

References 24 publications

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“…All fractures in our series eventually consolidated, requiring two additional procedures (10%), a percentage similar to those reported in the literature with internal osteosynthesis by Stannard et al 2 and Jöckel et al 23 Both revision procedures were performed in the patients with open fractures.…”

Section: Discussionsupporting

confidence: 85%

Treatment with Circular External Fixation of Bicondylar Tibial Fractures: Potential in Accurate Reduction and Efficacy on Functional Results

Lovisetti

Vulcano²,

Bettella

et al. 2017

J Knee Surg

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Surgical reconstruction of bicondylar tibial fractures with external fixation relies on indirect fracture reduction that could affect anatomical restoration. The aim of the present study is to evaluate the radiographic and clinical outcomes of tibial bicondylar fractures treated with circular external fixation. A total of 20 bicondylar fractures of the proximal tibia in 20 patients treated with circular external fixation were included in the study. Two fractures were open. Mean clinical and radiographic follow-up was 37.3 months after frame removal. Angular, translation, and length deformities were assessed on nonweight-bearing anteroposterior, lateral, and two 45 degrees oblique views. The medial proximal tibia (MPTA) and posterior proximal tibia angles (PPTA) were calculated in all cases. The condylar widening was calculated in relation to the width of the femoral condyles. Joint depressions or gaps of the articular surface were identified on the four views of the knee. The modified Hospital for Special Surgery (HSS) knee scoring system was used for clinical evaluation. The MPTA was good in 18 (90%) and fair in 2 patients (10%). The PPTA was good in 13 (65%), fair in 6 (30%), and poor in 1 patient (5%). The articular reduction was good in 12 (60%) and fair in 8 patients (40%). The condylar widening was good in 15 (75%) and fair in 5 patients (25%). Mechanical axis deviation was within the normal range in 11/12 patients (91.7%). All fractures consolidated. One deep infection was successfully treated with local debridement, the mean modified HSS knee score at the latest follow-up was 90.5 (range: 67-100). Articular reconstruction and tibia alignment based on radiographic evaluation in the present study, along with functional results compare favorably with those of external and internal fixation presented in the literature.

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Section: Discussionsupporting

confidence: 85%

Treatment with Circular External Fixation of Bicondylar Tibial Fractures: Potential in Accurate Reduction and Efficacy on Functional Results

Lovisetti

Vulcano²,

Bettella

et al. 2017

J Knee Surg

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“…To achieve the articular surface reduction and early mobilization, many treatment modalities have been proposed for bicondylar tibial fracture, including dual buttress plates, locking plate and hybrid external fixation. Because there is no standard method to treat bicondylar tibial plateau fractures, different surgeons often apply different ways according to their own experience [1,2].…”

Section: Introductionmentioning

confidence: 99%

Functional outcomes of bicondylar tibial plateau fractures treated with dual buttress plates and risk factors: A case series

Yao

Zan

et al. 2014

Injury

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“…Less compression of the periosteum is an advantage of a locking plate [1][2][3]. A non-locking conventional plate obtains the fixation stability by the frictional force between the plate and bone [1].…”

Section: Introductionmentioning

confidence: 99%

Locking versus non-locking neutralization plates for treatment of lateral malleolar fractures: a randomized controlled trial

Tsukada

Otsuji

Shiozaki

et al. 2013

International Orthopaedics (SICOT)

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Purpose The reduction of periosteal compression through the use of a locking plate may minimize disturbances of bone blood supply and may improve the rate of bone union. A single-centre, assessor blinded randomized controlled trial was conducted to compare the clinical effectiveness of a locking plate and a non-locking plate. Methods A total of 52 patients with AO/OTA 44B lateral malleolar fractures were included in this study. All patients underwent surgical fixation using a lag screw and neutralization plate. An identical treatment protocol was used in all patients, with exception of plate selection. The rate of radiographic bone union, defined as the complete disappearance of fracture lines confirmed through anteroposterior, lateral, and internal oblique views was compared at three, six, and 12 months following surgery. In addition, the Medical Outcomes 36-Item Short-Form Health Survey (SF-36) score, the time required for resolution of tenderness at the fracture site and the complication rate were evaluated. Results Twenty-three patients were randomly assigned to undergo fixation using a locking plate, and 29 patients were assigned to undergo fixation using a non-locking plate. Intention-to-treat analysis showed no difference in the radiographic bone union rate of fibula, SF-36 score, the time for resolution of tenderness at the fracture site and complication rates.Conclusion No differences were observed in patients with AO/OTA 44B lateral malleolar fractures undergoing fixation with a locking versus non-locking neutralization plate.

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Minimally invasive and open surgical treatment of proximal tibia fractures using a polyaxial locking plate system: a prospective multi-centre study

Cited by 18 publications

References 24 publications

Treatment with Circular External Fixation of Bicondylar Tibial Fractures: Potential in Accurate Reduction and Efficacy on Functional Results

Treatment with Circular External Fixation of Bicondylar Tibial Fractures: Potential in Accurate Reduction and Efficacy on Functional Results

Functional outcomes of bicondylar tibial plateau fractures treated with dual buttress plates and risk factors: A case series

Locking versus non-locking neutralization plates for treatment of lateral malleolar fractures: a randomized controlled trial

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