Tibial plateau fractures treated with the less invasive stabilisation system

Lee, Jackson A.; Papadakis, Stamatios A.; Moon, Charles N.; Zalavras, Charalampos G.

doi:10.1007/s00264-006-0176-x

Cited by 69 publications

(99 citation statements)

References 14 publications

(21 reference statements)

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“…Chaix et al [7] reported 86% good to excellent results by surgical means of treatment. Lee et al [8] reported good to excellent results by surgical means of less invasive stabilization system treatment. Feng et al [9] reported good results when fixed with LCP in comparison with dynamic compression plate (DCP) with an additional benefit of minimally invasive surgery.…”

Section: Discussionmentioning

confidence: 99%

Study of surgical management of proximal tibial fractures using locking compression plate

Reddy¹,

Nazeer²,

Arun³

et al. 2016

Int J of Biomed & Adv Res

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Introduction: Ever since the advents of high velocity transport system, there is an alarming increase in road traffic accident (RTA) with increased orthopaedic related morbidity and mortality. Proximal tibia being involved in body weight transmission through knee joint and leg, it plays a vital role in knee function and stability. The aim of surgical treatment of proximal tibial fractures is to restore and preserve normal knee function, which can be accomplished by anatomical restoration of articular surfaces, maintaining mechanical axis, restoring ligamentous stability and preserving a functional pain free range of motion of knee. Treatment of these injuries using minimally invasive percutaneous plate osteosynthesis (MIPPO) techniques may minimize soft tissue injuries and damage to vascular integrity of fracture fragments. Materials and Methods: This study was a hospital based prospective study centered in department of orthopedics at R.L. Jalappa Hospital and Research Centre attached to Sri Devaraj Urs Medical College, Kolar, from December 2013 to May 2015 in which 30 patients with proximal tibia fractures were treated with locking compression plate (LCP). Results: The assessment of clinical outcome was made according to Rasmussen's functional grading system. End results showed excellent outcome in 26 cases and good outcome in 4 cases. On subjective evaluation, 4 patients had superficial wound infection, 1 patient had deep vein thrombosis and 4 patients had extensor lag of 10 0 -15 0 at the end of final follow-up. Conclusion: Surgical management of proximal tibial fractures will give excellent anatomical reduction and rigid fixation to restore articular congruity, help to facilitate early mobilization and reducing post-traumatic osteoarthritis and hence to achieve optimal knee function. LCP remains a good choice in comminuted or more severe patterns of fractures.

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Section: Discussionmentioning

confidence: 99%

Study of surgical management of proximal tibial fractures using locking compression plate

Reddy¹,

Nazeer²,

Arun³

et al. 2016

Int J of Biomed & Adv Res

View full text Add to dashboard Cite

show abstract

“…We had maximum number of 22 cases due to RTA (88%), followed by fall from height 3 cases (12%). Lee JA et al in a similar study reported an incidence of 80% due to RTA, 11.4% due to fall from height, 5.8% due to blow and 2.8% due to shotgun injury [6] . This suggests that distal femoral factures around knee joint commonly occurs due to high energy trauma.…”

Section: Discussionmentioning

confidence: 87%

“…Horesh Z et al in their study found an average age to be 40.6 year (range from 30 to 70 years) [5] . Lee JA et al in a similar study found the average age to be 42 years ranging from 18 to 82 years [6] . This reflects that distal femoral fractures around knee joint are common in young adult age group who are involved in outdoor activities.…”

Section: Discussionmentioning

confidence: 89%

“…Gosling T, Schandelmaier P, Mullar M in their similar study found average time to surgery was 7.5 day (range 0 to 28 days) [10] . Lee JA et al found that all patients underwent operation within a mean time of 12 days (range 1 to 30 days) [6] . The lesser delay in surgery in our study could be because our institute is tertiary care centre where patients came after primary management outside.…”

Section: Discussionmentioning

confidence: 99%

“…The prologue of fixed-angle locking plates with has enhanced the fixation might of plate constructs and now are often practiced [4] . [6] . indicated for bridge plating of comminuted fractures [4] .…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of distal femoral locking plate in treatment of distal femoral fractures

Arora¹,

Singh²,

Chaudhary³

et al. 2017

Int. J. Orthop. Sci.

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Aim: To evaluate the efficacy of distal femoral locking plate in treatment of distal femoral fractures. Background: Distal femur fractures are one of the common fractures and constitute 1.6% of all fractures. Different treatment modalities with varying outcomes are seen in literature in the management of these fractures. Materials & methods:The study was conducted in the department of orthopaedics at tertiary Institute of Punjab. Patients treated for distal femur fractures with ORIF using distal femoral locking compression plates were evaluated to assess their clinical and functional outcome and compared with the available literature. Results: The mean time for union was less than 26 wks. Conclusion: Surgery in the form of ORIF with distal femoral locking compression plate for Distal femur fracture is a comparatively good treatment option for better out come and early mobilization with minimum complications. Keywords: Distal femur, locking plate IntroductionFractures of distal one third of femur supposedly are less than 1% of total fractures and stuck between 4%-6% of all femoral fractures. Supra condylar femoral fractures universally have bimodal distribution, younger generation caught up in high-energy trauma (including vehicular and motor-bike accidents and sports injuries) and senior citizens, often osteopenic or osteoporotic, sustaining trivial low-energy fall at home and ending up with femoral fractures [1] . Intra-articular fractures of distal femur present a tight spot to the orthopaedicians as these are easier said than done. Surgical management is usually prudent & carried out most of the times to have an advantageous end result because these are often comminuted and have their extension into the joint [2] . As orthopedic surgery has improvised over the years, methods in handling of supracondylar and intercondylar (intra articular) femur fractures now by and large engross varied surgical techniques. The aim of surgical management are to have a anatomical or near anatomical reconstruction of the articular surfaces and also to have reduction of the metaphyseal component to the diaphyseal one, restitution of normal axial alignment, length and rotation, in the last but not the least a stable internal fixation followed by early mobilisation and functional rehabilitation of the limb [3] . Internal fixation devices that used in the past and present to treat these fractures comprise of 95° angled blade plate, dynamic condylar screw plate (DCS), condylar buttress plate and retrograde supracondylar inter-locking nail. As the intricacy of these fractures has altered from simple extraarticular supracondylar types to intraarticular (inter condylar) and metaphyseal comminuted types, implants used till now may not meet the requirements. Double plating, and/or of late, locked plating (LP) technique have been advocated. But in double plating, there is often extensive soft tissue stripping on both medial & lateral sides of the femur, resulting in decreased blood supply and impending non-union and/or failure of t...

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Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

et al. 2019

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Tibial plateau fractures treated with the less invasive stabilisation system

Cited by 69 publications

References 14 publications

Study of surgical management of proximal tibial fractures using locking compression plate

Study of surgical management of proximal tibial fractures using locking compression plate

Efficacy of distal femoral locking plate in treatment of distal femoral fractures

Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

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