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https://www.readbyqxmd.com/read/29770577/percutaneous-reduction-and-internal-fixation-for-monocondylar-fractures-of-tibial-plateau-a-systematic-review
#1
REVIEW
Heng-Rui Chang, Yi-Yang Yu, Lin-Lin Ju, Zhan-Le Zheng, Wei Chen, Ying-Ze Zhang
Instead of extensive dissection of soft tissue around the fracture site, percutaneous techniques have unique advantages in managing displaced fragments, including preservation of soft tissues, less blood loss, lower risk of complications, and earlier functional rehabilitation. However, there are few systematic reviews on the effects of percutaneous reduction and internal fixation (PRIF) for tibial plateau fractures. A systematic search of Cochrane, EMBASE, and MEDLINE databases was performed for all publicly available data in March 2017 regarding the use of PRIF in treating monocondylar tibial plateau fractures...
May 16, 2018: Orthopaedic Surgery
https://www.readbyqxmd.com/read/29738401/locking-plate-fixation-in-a-series-of-bicondylar-tibial-plateau-fractures-raises-treatment-costs-without-clinical-benefit
#2
Matthew Cavallero, Richard Rosales, Jesse Caballero, Laurence B Kempton, Walter W Virkus, Greg E Gaski
OBJECTIVES: To compare outcomes and costs between locking and nonlocking constructs in the treatment of bicondylar tibial plateau (BTP) fractures. DESIGN: Retrospective cohort study. SETTING: Level 1 academic trauma center. PATIENTS: All patients that presented with complete articular, BTP fractures (AO/OTA 41-C and Schatzker 6) between 2013-2015 were screened (n=112). Patients treated with a mode of fixation other than plate-and-screw were excluded...
May 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29727334/primary-and-secondary-total-knee-arthroplasty-for-tibial-plateau-fractures
#3
Iain Stevenson, Tristan E McMillan, Santosh Baliga, Emil H Schemitsch
The surgical management of tibial plateau fractures can be technically demanding. In younger patients, the mainstay is fixation with cartilage preservation. In older patients with osteoporotic bone, this method has higher rates of fixation failure; in addition, it requires prolonged bed rest or protected weight bearing, which are major challenges in this group. In contrast, total knee arthroplasty performed acutely for primary treatment of tibial plateau fractures has potential advantages for elderly patients, such as immediate stability, early mobilization, and positive functional outcomes with decreased rates of reoperation...
June 1, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29713783/a-high-rate-of-tibial-plateau-fractures-after-early-experience-with-patient-specific-instrumentation-for-unicompartmental-knee-arthroplasties
#4
A M Leenders, M G M Schotanus, R J P Wind, R A P Borghans, N P Kort
PURPOSE: Patient-specific instrumentation (PSI) for unicompartmental knee arthroplasty (UKA) has been available for a few years. However, limited literature is available on this subject. Hence, the aim of this cohort study is to evaluate the 2 years' results of our first experiences with the use of PSI in UKA. It is hypothesised that there is no advantage in rate of adverse events and in radiological and functional outcomes in comparison to literature on the conventional method. METHODS: This cohort included 129 knees of 122 patients, operated by one surgeon...
April 30, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29685834/effect-of-increased-coronal-inclination-of-the-tibial-plateau-after-opening-wedge-high-tibial-osteotomy
#5
Yasushi Akamatsu, Ken Kumagai, Hideo Kobayashi, Masaki Tsuji, Tomoyuki Saito
PURPOSE: To assess whether the increased inclination of the tibial plateau on the coronal view after opening-wedge high tibial osteotomy affects radiographic coronal alignment, clinical outcomes, and cartilage findings. METHODS: After adjustment for the preoperative medial proximal tibial angle (MPTA), patients who underwent opening-wedge high tibial osteotomy were retrospectively divided into those with postoperative MPTA values of 95° or less (normal group) and greater than 95° (increased group), with each group containing 43 knees...
April 20, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29627848/fixation-augmentation-using-calcium-phosphate-bone-substitute-improves-outcomes-of-complex-tibial-plateau-fractures-a-matched-cohort-study
#6
Matthieu Ollivier, Yassine Bulaïd, Christophe Jacquet, Sebastien Pesenti, Jean-Noel Argenson, Sebastien Parratte
INTRODUCTION: Injectable cements have been developed to improve fixation's stability and thus obtain early return to adequate joint function. We aimed to compare post-operative radiographic and clinical outcomes of patients suffering from a complex tibial plateau fracture (TPF) fixed with calcium-phosphate bone substitutes (CPBS) augmentation to a matched group of patients with identical fracture pattern, treated with the same fixation's type, but augmented with bone grafting. METHODS: After local ethic committee approval, we retrospectively identified in a prospectively collected database, patients with complex comminuted metaphyseal and epiphysial bicondylar TPF (Schatzker type VI) admitted in our emergency department between January 2011 and December 2013...
April 7, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29598844/effect-of-bmi-on-outcomes-of-surgical-treatment-for-tibial-plateau-fractures-a-comparative-retrospective-case-series-study
#7
Yaşar Mahsut Dinçel, Ali Öner, Yavuz Arikan, Sever Çaglar, Raşit Özcafer, Mehmet Akif Güleç
PURPOSE: Tibia plateau fracture (TPF) treatment aims at achieving a stable, aligned, mobile, painless knee and preventing post-traumatic osteoarthritis. To achieve this goal, surgeons consider criteria such as patients' characteristics, severity, risk of complications, fracture displacement/depression, degree of soft tissue injury. However, body mass index (BMI) is not considered as a risk factor in literature. Our study was conducted to find out any possible correlation between BMI and functional scores or radiological score separately...
March 2, 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29517625/no-difference-between-bracing-and-no-bracing-after-open-reduction-and-internal-fixation-of-tibial-plateau-fractures
#8
Aakash Chauhan, Alan Slipak, Mark C Miller, Daniel T Altman, Gregory T Altman
INTRODUCTION: The use of a postoperative brace may be beneficial after open reduction and internal fixation of tibial plateau fractures. However, bracing has potential drawbacks related to cost, fitting, wound complications, and compliance. We hypothesized that no difference will be found between patients with and without bracing after open reduction and internal fixation of tibial plateau fractures. METHODS: In this prospective, comparative trial, patients were randomized to 6 weeks of bracing or no bracing after open reduction and internal fixation of tibial plateau fractures...
March 15, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29504849/evaluation-of-the-clinical-effects-of-diet-and-physical-rehabilitation-in-dogs-following-tibial-plateau-leveling-osteotomy
#9
Wendy I Baltzer, Sarah Smith-Ostrin, Jennifer J Warnock, Craig G Ruaux
OBJECTIVE To assess clinical effects of an omega-3 fatty acid and protein-enriched diet, physical rehabilitation, or both in dogs following tibial plateau leveling osteotomy (TPLO) and arthroscopic surgery for cranial cruciate ligament (CCL) disease. DESIGN Randomized, prospective clinical trial. ANIMALS 48 dogs with unilateral CCL disease. PROCEDURES Dogs were randomly assigned to receive a dry omega-3 fatty acid and protein-enriched dog food formulated to support joint health (test food [TF]), a dry food formulated for maintenance of adult dogs (control food [CF]), TF plus rehabilitation (TF-R), or CF plus rehabilitation (CF-R)...
March 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29459605/evaluation-of-the-results-of-ilizarov-ring-fixation-in-schatzker-type-vi-tibial-plateau-fracture
#10
D G Mostafa, M I Qavi, M M Bari, M Arifuzzaman, M Kamruzzaman, M K Saha
High-energy tibial plateau fractures associated with severe soft tissue injury are difficult to manage. The risk of wound complications following open reduction and internal fixation is notably high owing to extensive soft tissue dissection. Alternatively, application of Ilizarov ring fixator minimizes soft tissue dissection and provides adequate fracture stabilization to allow early range of motion and correction of any mal-alignment. With this technique, soft tissue complications particularly surgical site infections are expected to be significantly reduced...
January 2018: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/29457408/-double-plate-fixation-via-combined-approaches-for-the-treatment-of-old-tibial-plateau-fractures-of-schatzker-type-iv
#11
Hong-Lue Tan, Peng-Yi Dai, Wei-Feng Liu, Yan-Hao Yuan
OBJECTIVE: To explore the clinical efficacy of double-plate fixation for the treatment of old tibial plateau fractures with Schatzker type IV through anterior midline and posteromedial approaches. METHODS: From July 2013 to July 2015, 15 patients with old tibial plateau fractures were treated with internal fixation using locking reconstructive plate for the posteromedial fragment and anatomical locking plate for anteromedial fragment through antero midline and posteromedial approaches...
October 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29450208/clinical-outcomes-after-microfracture-of-the-knee-midterm-follow-up
#12
Alexander E Weber, Philip H Locker, Erik N Mayer, Gregory L Cvetanovich, Annemarie K Tilton, Brandon J Erickson, Adam B Yanke, Brian J Cole
Background: Microfracture is a single-stage arthroscopic procedure used to treat small- and medium-sized cartilage defects, the clinical results of which have been mixed to date. Purpose: To retrospectively evaluate prospectively collected patient-reported outcomes (PROs) after microfracture as well as to determine patient-related and defect-related factors associated with clinical outcomes and which factors predict the need for additional surgery. Study Design: Case-control study; Level of evidence, 3...
February 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29449003/upper-partial-fibulectomy-improves-knee-biomechanics-and-function-and-decreases-knee-pain-of-osteoarthritis-a-pilot-and-biomechanical-study
#13
Yong Nie, Jun Ma, ZeYu Huang, Bin Xu, Shuo Tang, Bin Shen, Virginia Byers Kraus, FuXing Pei
To investigate the change in clinical outcomes and biomechanical properties of the knee in response to upper partial fibulectomy. Sixteen patients with medial compartment knee osteoarthritis (KOA) underwent upper partial fibulectomy. Visual analog scale (VAS) pain, the hospital for special surgery knee score (HSS), hip-knee-ankle (HKA) angle (measured in the frontal plane), and flexion/extension range of motion of the knee were assessed before and up to 6 months after surgery. Patients were evaluated for gait parameters and overall peak knee adduction moment (KAM)...
April 11, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29401096/the-impact-of-psychiatric-illness-on-outcomes-following-operatively-managed-tibial-plateau-fractures-ota-41
#14
David Kugelman, Abdullah Qatu, Jack Haglin, Sanjit Konda, Kenneth Egol
OBJECTIVES: To assess the role self-reported treatment for a psychiatric diagnoses may play in long-term functional outcomes following operatively managed tibial plateau fractures. DESIGN: Prospective cohort study. SETTING: Academic medical center. PATIENTS: Over an 11 year period, patients were screened and identified on presentation to the emergency department or in the clinical office for inclusion in an IRB approved registry...
January 30, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29369184/the-effect-of-tourniquet-usage-on-cement-penetration-in-total-knee-arthroplasty-a-prospective-randomized-study-of-3-methods
#15
Okan Ozkunt, Kerim Sariyilmaz, Halil Can Gemalmaz, Fatih Dikici
BACKGROUND: It is a randomized study to compare cement penetration on x-rays after total knee arthroplasty (TKA) among 3 different ways to use tourniquets; application during the surgery, application only with implantation prosthesis and with no tourniquet use. METHODS: A total 69 knees of 59 patients were included in the study in a quasirandom manner. Each patient had physical exams and standard radiographic evaluations at 6 weeks after the TKA procedure. Outcome evaluations included visual analog scale (VAS) scores, Knee Society Scores (KSS), blood transfusion, and drainage status after surgery for all groups...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29276713/participation-in-recreational-athletics-after-operative-fixation-of-tibial-plateau-fractures-predictors-and-functional-outcomes-of-those-getting-back-in-the-game
#16
David N Kugelman, Abdullah M Qatu, Jack M Haglin, Sanjit R Konda, Kenneth A Egol
Background: Tibial plateau fractures can be devastating traumatic injuries to the knee, particularly in active athletes. Purpose/Hypothesis: The purpose of this study was to report on the return to participation in recreational athletics after operatively managed tibial plateau fractures. In addition, this study assessed factors associated with the ability to return to participation in recreational athletics after tibial plateau fractures treated with open reduction internal fixation and compared final outcomes between patients who were able to return to recreational athletics and those who could not...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29249013/results-with-nine-years-mean-follow-up-on-one-hundred-and-three-kaps%C3%A2-uni-knee-arthroplasties-eighty-six-medial-and-seventeen-lateral
#17
Dominique Saragaglia, Adrien Bevand, Ramsay Refaie, Brice Rubens-Duval, Régis Pailhé
PURPOSE: The purpose of this study was to present the results of the KAPS® uni knee arthroplasty system, both mobile and fixed bearing with reference to function, alignment and complications in 103 implants with a mean follow-up of nine years. METHODS: This was a retrospective study of 103 unicompartimental knee arthroplasties in 89 patients operated on between March 2005 and March 2010. The population was composed of 50 males and 39 females, with a mean age of 70...
December 17, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29197416/joint-awareness-in-posttraumatic-osteoarthritis-of-the-knee-validation-of-the-forgotten-joint-score-in-long-term-condition-after-tibial-plateau-fracture
#18
Florian Baumann, Johannes Weber, Daniel Mahr, Martin Bäumlein, Maximilian Kerschbaum, Karolina Müller, Paavo Rillmann, Michael Nerlich, Markus Loibl
BACKGROUND: Evaluating patient-reported outcomes (PRO) in early osteoarthritis (OA) of the knee is difficult. Established measurement tools are focused on one of the two major patient groups in knee surgery: young, highly active patients, or older patients with advanced degenerative OA of the knee. Joint awareness in everyday life is a crucial criterion in measuring PRO. The purpose of this study was to validate a German version of the "Forgotten Joint Score" (FJS) in patients after surgical treatment of tibial plateau fractures...
December 2, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29157843/predictors-of-osteoarthritis-following-operative-treatment-of-medial-tibial-plateau-fractures
#19
Markus Parkkinen, Jan Lindahl, Tatu J Mäkinen, Seppo K Koskinen, Antti Mustonen, Rami Madanat
PURPOSE: To determine factors influencing the development of posttraumatic osteoarthritis (OA) following medial tibial plateau fractures and to evaluate concomitant injuries associated with these fractures. MATERIALS AND METHODS: A chart review of patients with operatively treated medial tibial plateau fractures admitted to our Level I trauma centre from 2002 to 2008 was performed. Of 63 patients, 41 participated in a clinical and radiographic examination. The mean age was 47 years (range 16-78) and the mean follow-up time was 7...
February 2018: Injury
https://www.readbyqxmd.com/read/29145966/outcome-evaluation-of-staged-treatment-for-bicondylar-tibial-plateau-fractures
#20
Vincenzo Giordano, Ney Pecegueiro do Amaral, Hilton A Koch, Rodrigo Pires E Albuquerque, Felipe Serrão de Souza, José Félix Dos Santos Neto
BACKGROUND: The universal accepted strategy for treating high-energy tibial plateau fractures remains a topic of ongoing debate. The challenge for the practicing orthopaedic trauma surgeon is to provide anatomical articular fracture reduction, with successfully managing the complex soft-tissue injury that is commonly present at patient admission. The primary aim of the actual study was to evaluate the results of a staged protocol for the treatment of high-energy bicondylar tibial plateau fractures...
October 2017: Injury
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