A case report of Schatzker type VI tibial plateau fracture treated with double reverse traction closed reduction combined with minimally invasive percutaneous plate osteosynthesis technique

Li, Dianqing; Song, Deye; Ni, Jiangdong; Ding, Mu-Liang; Huang, Jun

doi:10.1097/md.0000000000008394

Cited by 12 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Each of these techniques has its limitations, such as need for special equipments and experience. In a case report by Li et al a Schatzker type-VI TPF was successfully treated with an MIS technique (19). Moreover, treatment of depressed, displaced, or unstable TPF via open conventional techniques provided satisfactory results (20,21).…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

et al. 2018

View full text Add to dashboard Cite

Background: Recently, minimally invasive surgical (MIS) techniques have become more common in orthopedics and traumatology practice. MIS techniques may also reduce complications in the treatment of tibial plateau fractures (TPFs). Objectives: The aim of this study was to compare the radiological and functional outcomes of TPF, treated by MIS techniques and the conventional approach (open reduction and internal fixation). Methods: The patients were divided into two groups, receiving either MIS (group A) or conventional treatment (group B). Each group consisted of 20 patients. The mean age of patients was 46.8 ± 2.85 years in group A and 50.3 ± 2.41 years in group B. Incisionhealing complications were classified based on severity. Functional outcomes were evaluated using the Lysholm scale in the first year. Results: Complete healing without incision-healing complications was reported in all patients from group A, whereas nine incisionhealing complications were found in group B (P < 0.001). The mean Lysholm scores of patients in group A and group B were 81.8 ± 1.72 and 76.3 ± 2.27, respectively (P = 0.06). Also, the mean fracture union time in group A and group B was 9.55 ± 0.46 and 10.25 ± 0.71, respectively (P = 0.41). Conclusions: Widespread use of MIS can be promoted in order to reduce incision-healing complications in TPF. However, further prospective studies with a larger sample size are needed to confirm our results.

show abstract

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

et al. 2018

View full text Add to dashboard Cite

show abstract

“…By applying classical methods of open reduction, bone fragments can be devascularized at the same time as soft tissue is compromised. This requires minimally invasive personalized orthopedic surgery that treats severe comminuted fractures and allows for satisfactory results [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Structured Integration and Alignment Algorithm: A Tool for Personalized Surgical Treatment of Tibial Plateau Fractures

Moldovan

Gligor

Bățagă

2021

JPM

View full text Add to dashboard Cite

The planning of the surgical treatment in orthopedics, with the help of three-dimensional (3D) technologies, arouses an increasing scientific interest. Scientific literature describes some semi-automatic reconstructive attempts at fragmented bone fractures, but the matching algorithms presented are likely to improve. The aim of this paper is to develop a new method of aligning fragments of comminutive fractures. We have created a structured integration process and an alignment algorithm integrated in a clinical workflow for personalized surgical treatment of fractures. The provided solution is able to align the surfaces of bone fragments derived from the segmentation process of volumetric tomographic data. Positional uncertainties are eliminated interactively by the user, who selects the corresponding pairs of fracture surfaces. The final matching and the right alignment are performed automatically by the innovative alignment algorithm. The paper solves a challenging problem for the reconstruction of fractured bones, namely the choice of the optimal matching option from the situation in which surface portions of a fracture fragment correspond to multiple high fragments. The method is validated in practice for preoperative planning of a 49-year-old male patient who had a tibial plateau fracture of Schatzker type VI.

show abstract

“…To date, no devices have been observed to facilitate the reduction of distal femur fractures with RE-IMN. In our previous studies, we designed a rapid redactor, a double reverse traction repositor, to help achieve and maintain the reduction of long bone fractures of limbs, including hip fractures, femur shaft fractures, and tibial plateau fractures [ 18 – 22 ]. Chen et al introduced the application of DRTR in the surgical treatment of femur shaft fractures [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Application of a double reverse traction repositor in the retrograde intramedullary nailing of distal femur fractures

et al. 2021

View full text Add to dashboard Cite

Objective The purpose of this prospective study was to introduce the application of a double reverse traction repositor (DRTR) in the retrograde intramedullary nailing (RE-IMN) of AO/OTA 33A distal femur fractures. Patients and methods A total of 27 patients with AO/OTA type 33A distal femur fractures who were admitted from January 2015 to May 2017 to a level I trauma center of a tertiary university hospital were enrolled in this prospective study. A DRTR was used to facilitate RE-IMN for the reduction of distal femur fractures in all patients. The demographic and fracture characteristics, surgical data, postoperative complications, and prognostic indicators of 24 patients were recorded. Results The DRTR helped achieve and maintain the reduction of all distal femur fractures in the present study. All surgeries were conducted by closed reduction, and excellent alignment was observed in the postoperative X-ray images. In the present study, 18 males and 6 females were included, and the average age of all patients was 51.3 years (range, 24–68 years). The mean operation time, intraoperative blood loss, intraoperative fluoroscopy time, and length of postoperative hospital stay were 137 min (range from 80 to 210 min), 320 ml (range from 200 to 600 ml), 28 (from 24 to 33), and 9 days (from 5 to 14 days), respectively. Eleven patients were found to have postoperative deep venous thrombosis before discharge. No cases of wound infection were observed. No cases of nonunion or malunion were observed. The average follow-up duration was 21 months (18–30 months). The average HHS, LKFS, and VAS scores at the 1-year follow-up were 89.9 (86–97), 79.1 (75–87), and 2.1 (from 0 to 5). No complications associated with DRTR were found. Conclusions A DRTR can be successfully applied in the treatment of distal femur fractures with RE-IMN, and it can not only help achieve or maintain the reduction of distal femur fractures with closed methods but also promote fixation with RE-IMN.

show abstract

A case report of Schatzker type VI tibial plateau fracture treated with double reverse traction closed reduction combined with minimally invasive percutaneous plate osteosynthesis technique

Cited by 12 publications

References 4 publications

Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

Minimally Invasive Surgery of Tibial Plateau Fractures Reduces Incision-Healing Complications of Open Reduction and Internal Fixation

Structured Integration and Alignment Algorithm: A Tool for Personalized Surgical Treatment of Tibial Plateau Fractures

Application of a double reverse traction repositor in the retrograde intramedullary nailing of distal femur fractures

Contact Info

Product

Resources

About