Reposition und Stabilisation von Tibiaplateaufrakturen

Eh, Kuner; Beeres, Frank J. P.; Cagienard, Flavio; Babst, Reto; Link, Björn‐Christian

doi:10.1007/s00064-020-00655-x

Cited by 2 publications

(4 citation statements)

References 24 publications

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“…However, the use of a posteromedial buttress plate can also increase the risk of soft tissue complications such as wound healing problems and infection (21) . In addition to the use of a posteromedial buttress plate, other surgical techniques may be employed in the treatment of Schatzker Type 6 fractures (22,23) . These include the use of bone grafts or other materials to help support the joint surface and promote healing, as well as the use of external fixation devices to stabilize the bone while it heals (24,25) .…”

Section: Discussionmentioning

confidence: 99%

Posteromedial Buttress Plate for Schatzker 6 Fractures as Double Column Fixation

Dar¹,

Muqaddas²,

Shahid³

et al. 2023

PJMHS

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Objective: Treatment of Schatzker Type 6 fractures is to use a posteromedial buttress plate as part of a double-column fixation technique. Materials & Methods: The design of this study was a cross sectional study design and this study was conducted in DHQ Teaching Hospital Gujranwala. patients with posterior medial fracture of Schatzker type 6 and having associated damage of some soft tissue present within the joint underwent surgery at our institutional operation theatre. In this Study setting we included total 20 patients (14 male [70%] and 6 females [30%]) who came with Bicondylar fractures having Comminuted Posteromedial Fragments of tibia. Results: Of the Patients, 12 (60%) had excellent results, 5(25%) had good results , and 3 (15%) had fair results. In total, 17 patients (85%) achieved cheering results. Walking, Stability, and motion were good or excellent in all cases. Practical Implication: One of the main advantages of the posteromedial buttress plate fixation technique is that it provides support to the medial column of the tibia, which is an important weight-bearing structure in the lower extremity. By restoring the structural integrity of the medial column, the technique can help promote early weight-bearing and facilitate early rehabilitation. All displaced posteromedial tibial plateau fractures should be surgically stabilized and buttressed using plate to restore joint congruity and prevent late subluxation and early arthritis. The aim is to study the role of posteromedial plating in the management of complex tibial plateau fractures with a posteromedial fragment Conclusion: Use of a posteromedial buttress plate as part of a double-column fixation technique can be an effective approach for treating Schatzker Type 6 fractures. Keywords: Fixation of Posterior Column, Buttress plate, Schatzker 6 fracture

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Section: Discussionmentioning

confidence: 99%

Posteromedial Buttress Plate for Schatzker 6 Fractures as Double Column Fixation

Dar¹,

Muqaddas²,

Shahid³

et al. 2023

PJMHS

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“…Fractures of the tibial plateau range from a simple non-displaced split to a severely comminuted fracture involving both medial and lateral plateau [ 1 ]. Treatment most often consists of open reduction and internal fixation (ORIF), during which the plateau is reconstructed using a step-by-step approach [ 2 , 3 ]. These steps include a surgical approach that allows for elevation and repositioning of (impacted) fragments and temporary fixation with k-wires that are replaced with definitive osteo-synthesis using screws and plate(s).…”

Section: Introductionmentioning

confidence: 99%

“…These steps include a surgical approach that allows for elevation and repositioning of (impacted) fragments and temporary fixation with k-wires that are replaced with definitive osteo-synthesis using screws and plate(s). Metaphyseal defects are often filled with bone graft (substitutes) [ 3 ]. This strategy of anatomic reduction and stable fixation using a soft tissue preserving technique that allows early motion remains the cornerstone of treatment.…”

Section: Introductionmentioning

confidence: 99%

“…This strategy of anatomic reduction and stable fixation using a soft tissue preserving technique that allows early motion remains the cornerstone of treatment. However, there have been some advances in this area: (1) introduction of the three-column concept may allow better pre-op planning [ 4 ]; (2) new posterior-based surgical approaches allow for better access [ 3 , 5 ]; and (3) plates are nowadays smaller and anatomic [ 6 ], and allow for a rafting technique giving better support of the subchondral bone.…”

Section: Introductionmentioning

confidence: 99%

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Two-level fixation with headless compression screws for tibial plateau fractures

Wágner

Kloen

2022

Eur J Trauma Emerg Surg

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Purpose Reduction and fixation of tibial plateau fractures associated with small, “floating” intra-articular fragments proposes a challenge. We use fully threaded headless compression screws for (interfragmentary) fixation of such fragments before final plate fixation when standard fixation of intra-articular fragments with k-wires or lag screws is deemed insufficient. Our aim is to describe our technique and clinical experience of this two-level fixation. Methods Between 2006 and 2021, 29 patients with a comminuted tibial plateau fracture were treated with this two-level fixation in this retrospective case series. Clinical baseline and surgical variables were collected for all patients. Clinical outcome variables were available for 28 patients with a median follow-up of 16.5 months (IQR 5–24). Functional outcomes were measured with the Knee Injury and Osteoarthritis Outcome Score (KOOS) and reported by 22 patients at a median of 5.2 years (IQR 3.5–9.8). Results Reduction was anatomic or good in 82% of cases, fair in 14%, and a malreduction in 4%. Arthrosis was graded as grade 0 in 25% of cases, 1 in 39%, 2 in 21%, and 3 in 14%. Flexion was 110 degrees (IQR 100–130). Five patients had an extension deficit of 5 to 10 degrees. Median KOOS for symptoms and stiffness was 69 points (IQR 45–78), for pain 71 (IQR 45–88), for ADL 85 (IQR 52–95), for sports 30 (IQR 11–55), and for quality of life 34 (IQR 19–56). Conclusion The use of fully threaded headless compression screws is a simple and helpful addition in the treatment of comminuted tibial plateau fractures.

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Reposition und Stabilisation von Tibiaplateaufrakturen

Cited by 2 publications

References 24 publications

Posteromedial Buttress Plate for Schatzker 6 Fractures as Double Column Fixation

Posteromedial Buttress Plate for Schatzker 6 Fractures as Double Column Fixation

Two-level fixation with headless compression screws for tibial plateau fractures

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