Tibioplasty, a new technique in the management of tibial plateau fracture: A multicentric experience review

Doria, Carlo; Balsano, Massimo; Spiga, M.; Mosele, Giulia Raffaella; Puddu, Leonardo; Caggiari, Gianfilippo

doi:10.1016/j.jor.2016.12.002

Cited by 18 publications

(12 citation statements)

References 12 publications

(8 reference statements)

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“…Complications of ORIF surgery can be muscular damage, postoperative pain and swelling, infection, operation time, scarring, and damage to the blood supply to the periosteum. 9 These evidences encouraged the use of percutaneous reduction with balloon and cement augmentation in tibial plateau fractures, a technique derived from vertebral surgery but also used successfully in maxillofacial surgery and for the treatment of calcaneus, 10 cuboid, 11 distal radius, 12 and acetabular 13 . Reiley, 14 in 2003, first described this technique for the tibial plateau.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic-Guided Balloon Tibioplasty in Schatzker III Tibial Plateau Fracture

Cuzzocrea

Jannelli

Ivone

et al. 2018

Joints

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Purpose The study aims to present the results at a mean 28-months follow-up of arthroscopic-guided balloon tibioplasty and to spot some technical tricks and some practice using tools and materials. Methods The study relates to six patients with tibial plateau fractures type Schatzker III with tibial plateau depression more than 4 mm at preoperative computed tomography scan (CT-scan). The follow-up period ranged from 22 to 33 months, with a mean of 28 months. No patients were lost to follow-up. The patients were evaluated clinically using the Rasmussen score system and Lysholm score systems at 6 to 12 and 24 months, postoperatively. Radiographic evaluations (standard X-rays) were done preoperatively at 1, 3, and 12 months postoperatively while a CT-scan with 3D reconstruction was performed preoperatively, at the first day and 6 months, postoperatively. Results The mean Rasmussen clinical score at 6 months postoperatively was 26.3 while at 1-year postoperatively the mean Rasmussen clinical score was 28.33. At 2-year postoperatively the mean Rasmussen clinical score was 28.83. Statistically significant difference was found in 6-months and 2-years results ( p < 0.05). CT-scan achieved the first postoperative day showed the recovery of approximately 70% of the area of the interested tibial plateau, restoring of the joint surface without articular bone free fragments. Conclusion The described surgical procedure, if correctly performed with proper indications (Schatzker III), respect the principles mentioned above and the clinical and radiological results confirm our purpose. Level of Evidence This is a therapeutic case series, level IV study.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic-Guided Balloon Tibioplasty in Schatzker III Tibial Plateau Fracture

Cuzzocrea

Jannelli

Ivone

et al. 2018

Joints

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“…Calcium sulphate, calcium phosphate (CaP) ceramics and injectable cements and bio-active glass, represent the more used synthetic bone substitutes. These composites share similar mechanical characteristics, aiming to imitate the osteoconductive function of autografts and allografts, and are mainly used to fill the void in large segmental defects [5,44].…”

Section: Bone Substitutesmentioning

confidence: 99%

The Treatment of Acute Diaphyseal Long-bones Fractures with Orthobiologics and Pharmacological Interventions for Bone Healing Enhancement: A Systematic Review of Clinical Evidence

et al. 2020

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Background: The healing of long bones diaphyseal fractures can be often impaired and eventually end into delayed union and non-union. A number of therapeutic strategies have been proposed in combination with surgical treatment in order to enhance the healing process, such as scaffolds, growth factors, cell therapies and systemic pharmacological treatments. Our aim was to investigate the current evidence of bone healing enhancement of acute long bone diaphyseal fractures. Methods: A systematic review was conducted by using Pubmed/MEDLINE; Embase and Ovid databases. The combination of the search terms “long-bones; diaphyseal fracture; bone healing; growth factors; cell therapies; scaffolds; graft; bone substitutes; orthobiologics; teriparatide”. Results: The initial search resulted in 4156 articles of which 37 papers fulfilled the inclusion criteria and were the subject of this review. The studies included 1350 patients (837 males and 513 females) with a mean age of 65.3 years old. Conclusions: General lack of high-quality studies exists on the use of adjuvant strategies for bone healing enhancement in acute shaft fractures. Strong evidence supports the use of bone grafts, while only moderate evidence demineralized bone matrix and synthetic ceramics. Conflicting results partially supported the use of growth factors and cell therapies in acute fractures. Teriparatide showed promising results, particularly for atypical femoral fractures and periprosthetic femoral fractures.

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“…These early studies showed a low incidence of complications and satisfactory clinical and radiological results. (6)(7)(8)(9) A thorough understanding of the clinical and imaging anatomy of the tibial plateau and the tibial plateau is essential when trying to perform less invasive surgery on intraarticular plateau fractures. All these new technologies have achieved good clinical results.…”

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confidence: 99%

Advances in Surgical Management of Schatzker III Tibial Plateau Fractures

Gan¹,

Zhong²,

Wang³

et al. 2020

ijSciences

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The tibial plateau Schatzker type Ⅲ fracture is a simple lateral collapse fracture, which is mainly seen in the low energy injuries of the knee joint in older patients with osteoporosis. (1-3) The treatment options for this type of fracture are open reduction and internal fixation. Repairing the alignment of the collapsed joint surface and the tibial force line is the final goal of surgical treatment. Usually the choice of internal fixation is the combination of ship valve screw arrangement and support steel plate. (4)Many authors recommend avoiding the use of simple hollow screws, especially in comminuted fractures with more severe joint defects, as this can easily lead to secondary collapse of the joint.(5)The traditional surgical method is an anterior-lateral approach with open reduction and internal fixation. Due to the long incision, large trauma, and poor medical compliance of the elderly, it is prone to complicated knee stiffness and traumatic arthritis. The surgical effect is not satisfactory.

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Tibioplasty, a new technique in the management of tibial plateau fracture: A multicentric experience review

Abstract: Balloon-tibioplasty represents an improved and accurate modality for restoration of articular congruence.

Cited by 18 publications

References 12 publications

Arthroscopic-Guided Balloon Tibioplasty in Schatzker III Tibial Plateau Fracture

Arthroscopic-Guided Balloon Tibioplasty in Schatzker III Tibial Plateau Fracture

The Treatment of Acute Diaphyseal Long-bones Fractures with Orthobiologics and Pharmacological Interventions for Bone Healing Enhancement: A Systematic Review of Clinical Evidence

Advances in Surgical Management of Schatzker III Tibial Plateau Fractures

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