Percutaneous screw fixation of tibial plateau fractures

Keogh, Peter; Kelly, CP; Cashman, W. F.; McGuinness, A.; O’Rourke, S. K.

doi:10.1016/0020-1383(92)90013-i

Cited by 48 publications

(34 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In order to compare our results with other published series, two knee-scoring systems were used, the Iowa knee score 4,19 and the Rasmussen system. 1,15,[39][40][41][42][43][44] For radiological assessment we used a modified Rasmussen scoring system. 39 The preoperative, first postoperative and last follow-up radiographs were digitised to facilitate review and analysis of reduction and possible redisplacement.…”

Section: Methodsmentioning

confidence: 99%

Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system

Ali¹,

Burton

Hashmi

et al. 2003

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

ine-wire external fixation is accepted as a minimally invasive technique, which can provide better outcomes than traditional open methods in the management of complex fractures of the tibial plateau. Available fixators vary in their biomechanical stability, and we believe that a stable beam-loading system is essential for consistently good outcomes. We assessed, prospectively, the clinical, radiological and general health status of 20 of 21 consecutive patients with complex fractures of the tibial plateau who had been treated using a standard protocol, with percutaneous screw fixation and a neutralisation concept with a fine wire beam-loading fixator allowing early weightbearing.Bony union was achieved in all patients, with 85% having good or excellent results. Full weight-bearing started during the first six weeks in 60% of patients. The general health status assessment correlated well with the knee scores and reflected a satisfactory outcome. [Br] 2003;85-B:691-9. J Bone Joint Surg

show abstract

Section: Methodsmentioning

confidence: 99%

Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system

Ali¹,

Burton

Hashmi

et al. 2003

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…[12][13][14][15] Arthroscopy is particularly helpful since it provides a good view of the fractured articular surface and any other intra-articular lesion, while limiting soft-tissue damage. Good early results of arthroscopically-assisted osteosynthesis of fractures of the tibial plateau have been reported previously.…”

mentioning

confidence: 99%

Medium-term results of percutaneous, arthroscopically-assisted osteosynthesis of fractures of the tibial plateau

Scheerlinck¹,

Ng²,

Handelberg³

et al. 1998

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

We carried out percutaneous, arthroscopicallyand fluoroscopically-assisted osteosynthesis of fractures of the tibial plateau in 52 patients, of whom 38 were assessed using the HSS knee score and standing radiographs. We reviewed 31 AO type-B fractures and seven type-C fractures after a mean follow-up of five years (1 to 14). Fixation was achieved using percutaneous screws and/or an external frame; 33 associated intra-articular injuries, diagnosed in 21 out of the 38 patients, were treated arthroscopically.Subjectively, 94.7% of the patients reviewed were satisfied. According to the HSS knee score 78.9% of the results were excellent, 13.2% good, 7.9% fair and none was poor. Narrowing of the joint space was found in 28.9% of the injured and 5.3% of the unaffected knees and axial deviation of 5° to 10° in 15.8% of the injured and 10.5% of the unaffected knees.Of the 52 fractures, reduction was incomplete in one, and in two secondary displacement occurred, of which one required corrective osteotomy. Deep-venous thrombosis occurred in four cases.The technique has proved to be safe but demanding. It facilitates diagnosis and appropriate treatment of associated intra-articular lesions.J Bone Joint Surg [Br] 1998;80-B:959-64. Received 30 December 1997; Accepted after revision 30 April 1998 In fractures of the tibial plateau precise reduction of the articular surface with stable fixation restores the mechanical axis allowing early mobilisation. Ligamentous stability and preservation of the menisci are important for a longlasting result.1-9 Open reduction and internal fixation has a significant complication rate 8,10,11 which has encouraged interest in percutaneous techniques. [12][13][14][15] Arthroscopy is particularly helpful since it provides a good view of the fractured articular surface and any other intra-articular lesion, while limiting soft-tissue damage. Good early results of arthroscopically-assisted osteosynthesis of fractures of the tibial plateau have been reported previously. [16][17][18][19][20][21][22][23] There are few long-term studies. Our aim was to determine whether the good immediate results withstood the test of time. Patients and MethodsWe performed arthroscopically-assisted treatment in 64 patients with fracture of the proximal tibia involving the knee. In seven the intercondylar eminence had been avulsed in a single injury; they were excluded because they represented an isolated injury to the cruciate ligament. Another five patients were treated conservatively after arthroscopic evaluation and were also excluded. In the 52 remaining patients the fractures were reduced percutaneously and fixed under arthroscopic and fluoroscopic control by one of the senior authors (FH or PPC). There were 38 patients, 22 women and 16 men with a mean age at injury of 47 years (14 to 81), available for independent review (TS or CSN). One patient had died from an unrelated cause and 13 others could not be traced or refused to participate in the study. These lost patients were assessed from their hospital records...

show abstract

“…13 Keogh reported, out of 13 patients treated for displaced tibial plateau fractures with percutaneous screw fixation 11 had satisfactory results, one had fair and one had poor results. 14 Stokel reported 65% had good to excellent results after being treated by surgical means with operative treatment. 15 Roberts in 1968 got 76% good to excellent results but they were mainly split compression fractures.…”

Section: Discussionmentioning

confidence: 99%

“…14 Stokel reported 65% had good to excellent results after being treated by surgical means. 15 Our average follow up period is 12 months minimum being 6 months and maximum being 28 months.…”

Section: Discussionmentioning

confidence: 99%

Various modalities of treatment of proximal tibial fractures: a prospective longitudinal study

Rabari¹,

Somanni²,

Prasad³

et al. 2017

Int J Res Orthop

View full text Add to dashboard Cite

INTRODUCTIONTibial plateau fractures are one of the commonest intraarticular fractures. They result from indirect coronal or direct axial compressive forces. This makes about 1% of all fractures and 8% of the fractures in elderly.These fractures encompass many and varied fracture configurations that involve medial, lateral or both plateaus with varying degrees of articular depressions and displacements. Each fracture type has its own characteristic morphology and response to the treatment. It is essential to determine the force of injury since highenergy trauma is associated with considerable soft tissue and neurovascular damage. Apart from tibial plateau bony injury, meniscal tear and ligament injuries should also be assessed. ABSTRACTBackground: Tibial plateau fractures are one of the commonest intra-articular fractures. They result from indirect coronal or direct axial compressive forces. This makes about 1% of all fractures and 8% of the fractures in elderly. Nevertheless, tibial plateau fractures challenging remain because of their number, variety and complexity. With advancements the treatment of each fracture type is still not defined hence we have taken up this study to analyze various fracture patterns and its outcome. Methods: The study includes 40 patients having the fractures of the proximal tibial metaphyseal; metaphyseodiaphyseal with or without intra-articular extension (including upper third fractures of tibia), closed fractures, fractures with Open grade-I wounds (Gustillo Anderson Classification).The study excludes compound fractures having grade II and III (Gustillo Anderson) and Paediatric patients. The treatment method was based on the type of fracture, the amount of displacement , the amount of depression and surrounding skin condition of the tibial plateau. We used the Schatzker classification because it is closest to describing the specific fracture type and it is easy to apply. Results: In this study there were 40 patients with mean age of 39.18 (median 38.5 and min -max 25 to 55) with 25 male (62.5%) and 15 (37.5%) female with significant male preponderance. In this study road traffic accident was the commonest mode of injury (65%) and produced different types of fractures, followed by fall from height (22.5%), injury while playing sports (12.5%). Conclusions:The correct method of management of tibial condylar fractures depends on good clinical judgment. If rational treatment is to be instituted the surgeon must have sound knowledge of the personality of the injury and a clear understanding of the knee examination, imaging studies and must be familiar with variety of techniques available at present for treating tibial condyle fractures.

show abstract

Percutaneous screw fixation of tibial plateau fractures

Cited by 48 publications

References 8 publications

Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system

Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system

Medium-term results of percutaneous, arthroscopically-assisted osteosynthesis of fractures of the tibial plateau

Various modalities of treatment of proximal tibial fractures: a prospective longitudinal study

Contact Info

Product

Resources

About