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Peng Yang, Di Du, Zhibin Zhou, Nan Lu, Qiang Fu, Jun Ma, Liangyu Zhao, Aimin Chen
INTRODUCTION: Osteotomy and internal fixation are usually the most effective way to treat the malunion of lateral tibial plateau fractures, and the accuracy of the osteotomy is still a challenge for surgeons. This is a report of a series of prospectively study of osteotomy treatment for the malunion of lateral plateau fractures with the aid of 3D printing technology. METHODS: A total of 7 patients with malunion of lateral tibial plateau fractures were enrolled in the study between September 2012 to September 2014 and completed follow up...
September 12, 2016: Injury
Vincenzo Giordano, Joseph Schatzker, Mauricio Kfuri
High-energy fractures of the proximal tibia with extensive fragmentation of the posterior rim of the tibial plateau are challenging. This technique aims to describe a method on how to embrace the posterior rim of the tibial plateau by placing a horizontal precontoured one-third tubular plate wrapped around its corners. This method, which we named "hoop plating," is mainly indicated for cases of crushed juxta-articular rim fractures, aiming to restore cortical containment of the tibial plateau. Through a lateral approach with a fibular head osteotomy (Lobenhoffer approach), both anterolateral and posterolateral fragments are directly reduced and supported by a one-third tubular plate of adequate length...
September 29, 2016: Journal of Knee Surgery
Pengbo Chen, Hao Shen, Wei Wang, Binbin Ni, Zhiyuan Fan, Hua Lu
BACKGROUND: Tibial plateau fractures are of great challenge to treat with open reduction and internal fixation, because fractures vary from simple to complex, with little or extensive articular involvement. Hence, recognition and comprehension of the fracture features will help orthopedic surgeons understand the injury mechanism better and manage these fractures by planning optimal surgical procedures. This study aimed to evaluate the morphological characteristics of tibial plateau fractures based on the Schatzker classification...
August 27, 2016: Journal of Orthopaedic Surgery and Research
Zhen Wang, Zhibing Tang, Chaoqun Liu, Jinlian Liu, Yaozeng Xu
PURPOSE: The purpose of this study is to explore whether arthroscopically assisted reduction and internal fixation (ARIF) is superior to traditional open reduction and internal fixation (ORIF) in the treatment of tibial plateau fractures. METHODS: Fifty-seven patients with tibial plateau fractures (Schatzker type I-IV) treated by ARIF or ORIF from 2010 to 2013 were included in this retrospective study. All patients received pre-operative radiographs and CT scans...
August 23, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Mark E Hake, James A Goulet
Fractures of the tibial plateau are challenging injuries to treat. The lateral tibial plateau is fractured more commonly than the medial plateau and the workhorse approach for these fractures is the anterolateral approach. This approach allows visualization of the lateral joint, metaphysis, and can be extensile if there is shaft extension. We present our technique for performing the anterolateral approach while treating a Schatzker III tibial plateau fracture. Special attention is given to performing a submeniscal arthrotomy to view the joint surface and judge the reduction...
August 2016: Journal of Orthopaedic Trauma
Neil Rohra, Harpreet Singh Suri, Kewal Gangrade
INTRODUCTION: High energy intra-articular fractures involving the tibial plateau causes various problems related to management like wound dehiscence, severe comminution leading to malalignment and delayed complications like varus collapse, implant failure and arthritis of knee joint. AIM: This study was done to determine functional, radiological outcome and the complications of Schatzker V and VI tibial plateau fractures treated with bipillar plating with dual plates with a regular follow-up of atleast 3 years...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
Ashok K Rathod, Rakesh P Dhake, Aditya Pawaskar
Fractures of the proximal tibia comprise a huge spectrum of injuries with different fracture configurations. The combination of tibia plateau fracture with diaphyseal extension is a rare injury with sparse literature being available on treatment of the same. Various treatment modalities can be adopted with the aim of achieving a well-aligned, congruous, stable joint, which allows early motion and function. We report a case of a 40-year-old male who sustained a Schatzker type VI fracture of left tibial plateau with diaphyseal extension...
2016: Curēus
H Hoekstra, K Kempenaers, S Nijs
OBJECTIVES: Variable angle locking compression plates allow for lateral buttress and support of the posterolateral joint surface of tibial plateau fractures. This gives room for improvement of the surgical 3-column classification approach. Our aim was to revise and validate the 3-column classification approach to better guide the surgical planning of tibial plateau fractures extending into the posterolateral corner. METHODS: In contrast to the 3-column classification approach, in the revised approach the posterior border of the lateral column in the revised approach lies posterior instead of anterior of the fibula...
June 8, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Yanqing Wang, Fujiang Cao, Minghui Liu, Jiantao Wang, Shikong Jia
Objective The goal of this study was to determine the incidence of soft-tissue injuries in patients with posterolateral tibial plateau fractures. Methods The data of 265 patients who had sustained posterolateral tibial plateau fractures between May 2009 and Aug 2014 were retrospectively reviewed using a picture archiving and communication system. Fractures were classified according to the Schatzker, AO/OTA, and quadrant classification systems. Soft-tissue injuries, including anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), lateral collateral ligament (LCL), medial collateral ligament (MCL), lateral meniscus, and medial meniscus injuries, were assessed using magnetic resonance imaging (MRI) data...
August 2016: Journal of Knee Surgery
John Kampa, Ryan Dunlay, Robby Sikka, Marc Swiontkowski
Tibial plateau fractures may result in significant limitations postoperatively. Studies have described outcomes of arthroscopic-assisted percutaneous fixation (AAPF) of these injuries but have rarely reported postoperative activity levels. Between 2009 and 2013, patients who sustained a lateral split, split depression, or pure depression type tibial plateau fracture (Schatzker types I-III fractures) and underwent outpatient AAPF were eligible for the study. Outcomes were assessed using Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Lysholm score, and Marx activity score...
May 1, 2016: Orthopedics
Amit M Momaya, Jimmy Hlavacek, Brian Etier, David Johannesmeyer, Lasun O Oladeji, Thomas E Niemeier, Nicholas Herrera, Jason A Lowe
INTRODUCTION: Tibial plateau fractures are challenging to treat due to the high incidence of postoperative infections. Treating physicians should be aware of risk factors for postoperative infection in patients who undergo operative fixation. PATIENTS AND METHODS: A retrospective review was undertaken to identify all patients with tibial plateau fractures over a 10 year period (2003-2012) who underwent open reduction internal fixation. A total of 532 patients were identified who met the inclusion criteria...
July 2016: Injury
Kai Wu, Jianhua Huang, Jian Lin, Qiugen Wang
Anterior tibial plateau fracture is fairly common. This study was aimed at introducing a type of severe anterior tibial plateau fracture (anterior tibial plateau fracture-dislocation) and evaluating its clinical characteristics and treatment strategies. In this study, 18 patients with severe anterior tibial plateau fracture (study group) were enrolled between November 2006 and August 2014, and their data were compared with those of 21 patients treated for normal Schatzker type VI tibial plateau fracture (control group) between January 2010 and August 2014...
April 27, 2016: Journal of Knee Surgery
L Bai, W Zhou, W T Zhang, W Huang, T You, P Chen, H L Zhang
OBJECTIVE: To analyze morphological character of lateral tibial plateau fracture fragment, and its correlation to the presence of a meniscus injury in tibial plateau fractures. METHODS: A total of 79 consecutive patients of the simple lateral tibial plateau fractures from July 2011 to July 2015 were included in this study, with 65 males and 14 females with an average age of (34.3±7.2) years and 22-61 years. According to Schatzker classification, 21 cases were of Type I, 41 cases Type II, and 17 cases Type III...
April 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Hengrui Chang, Yanbin Zhu, Zhanle Zheng, Wei Chen, Shue Zhao, Yiwen Zhang, Yingze Zhang
OBJECTIVES: This meta-analysis was conducted to compare the clinical outcomes of single lateral locking plate (SP) versus dual plate fixation (DP) for the repair of bicondylar tibial plateau fractures (AO/OTA type C or Schatzker type V and VI). METHODS: PubMed, Embase, Medline, CNKI, Wanfang database and Chinese VIP information were searched to identify the randomized and prospective comparative clinical studies which concern the treatment of bicondylar tibial plateau fractures (AO/OTA type C or Schatzker type V and VI) both with SP and DP fixation before October 1, 2015...
March 23, 2016: International Orthopaedics
Ashish-Kumar Gupta, Rahul Sapra, Rakesh Kumar, Som-Prakash Gupta, Devwart Kaushik, Sahil Gaba, Mahesh Chand Bansal, Ratan Lal Dayma
PURPOSE: The treatment of high-energy tibial condylar fractures which are associated with severe soft tissue injuries remains contentious and challenging. In this study, we assessed the results of Joshi's external stabilization system (JESS) by using the principle of ligamentotaxis and percutaneous screw fixation for managing high-energy tibial condylar fractures associated with severe soft tissue injuries. METHODS: Between June 2008 and June 2010, 25 consecutive patients who were 17e71 years (mean, 39...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Christopher Allmon, Patrick Greenwell, Ebrahim Paryavi, Andrew Dubina, Robert V OʼToole
OBJECTIVES: Compartment syndrome (CS) is a potentially devastating injury associated with tibial fractures. Few data exist regarding radiographic indicators of CS. We hypothesized that radiographic signs are associated with development of CS. DESIGN: Retrospective review. SETTING: Level I trauma center. PATIENTS: Consecutive series of adult patients with tibial fractures with (n = 56) and without (n = 922) CS. INTERVENTION: None...
July 2016: Journal of Orthopaedic Trauma
Zhi-dan Ling, Jian-feng Wang, Hai-bo Song, Hao-jie Gu
OBJECTIVE: To investigate clinical effects of minimally invasive fixation and bone grafting througn medial side for the treatment of Schatzker III tibial plateau fracture. METHODS: From April 2009 to August 2011, 18 patients with Schatzker III tibial plateau fracture were treated with minimally invasive fixation and bone grafting through medial side. There were 15 males and 3 females ranging in age from 64 to 73 years, with an average of (69.75 ± 1.22) years. Sixteen patients were caused by falling down, 2 cases were caused by traffic accident...
December 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Xing-zhou Zhang, Wei-zhong Yu, Yun-feng Li, Yan-hui Liu
OBJECTIVE: To summarize application of rafting K-wires technique for tibial plateau fractures. METHODS: From January 2013 to January 2015,45 patients with tibial plateau fractures were treated by locking plate with rafting K-wires, including 33 males and 12 females with an average of 44.2 years old ranging from 22 to 56 years old. According to Schatzker classification, 6 cases were type II, 8 were type Ill, 4 were type IV, 4 were type V, and 5 were type VI. Allogeneic bone graft were performed for bone defects...
December 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Nan Li, Gang Li, Tao Guan
OBJECTIVE: To explore clinical curative effects of bilateral bone plate with autogenous iliac bone graft for the treatment of Schatzker IV-VI complex tibial plateau fractures. METHODS: From December 2011 to December 2013,32 patients with complex tibial plateau fractures (Schatzker IV-VI) were operated by bilateral bone plate with autogenous iliac bone graft. Among them,including 20 males and 12 females with an average age of 37.4 years old ranged from 19 to 54 years old; 14 cases on the left side and 18 cases on the right side; the time from injury to operation ranged from 5 h to 9 d with an average of 3...
December 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Peng-cheng Wang, Dong Ren, Bing Zhou
A 66-year-old woman had sustained crush injury 3 hours prior to her presentation to our hospital. The diagnosis was defined as lateral tibial plateau fracture of the right knee (Schatzker III). Supine position was set up and a pad was put under the affected hip. After sterilization of the surgical field the sterilized sheets were placed beneath the leg in order to be higher than the other side. A rolled sheet was put under the knee joint so that the knee joint was flexed around 30° to 40°. After the surgical field was draped the skin was incised...
November 2015: Orthopaedic Surgery
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