Comparative Analysis of Clinical Outcomes of Tibial Plateau Fractures and Computed Tomography Examinations

Piątkowski, Krzysztof; Kwiatkowski, Krzysztof; Piekarczyk, Piotr; Żegadło, Arkadiusz; Rojkowski, Rafał

doi:10.5604/15093492.1157090

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…The main goals in the treatment of tibia plateau fractures include anatomic reduction of articular surface, maintenance of normal knee alignment, provision of knee stability and restoration of a painless range of motion and function [4,[11][12][13]. Schatzker type IV tibial plateau fractures involving posteromedial plane remain difficult, because they usually accompany with meniscus and ligaments injuries.…”

Section: Discussionmentioning

confidence: 99%

Combined lateral peripatellar and posteromedial approaches for Schatzker type IV tibial plateau fractures involving posteromedial plane: a prospective study

Zhang

Yin

Zhao

et al. 2020

BMC Musculoskelet Disord

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Background: The objective of this study to evaluate prospectively the effectiveness of Schatzker type IV tibial plateau fractures involving posteromedial plane managed by combined lateral peripatellar and posteromedial approaches. Methods: We analyzed 18 patients with Schatzker type IV tibial plateau fractures involving posteromedial plane. There were 12 males and 6 females with an average of 38.5 years (range, 25-60 years). The mechanism of injury included traffic accident in 15 patients and falling in 3 patients. The injured lower limbs were right in 11 patients and left in 7 patients. The mean time from injury to surgery was 6.78 days (range, 5-9 days). There were 8 patients with meniscus injuries in our study. Results: The mean operation time was 3.41 h (range, 3-4 h). The mean blood loss was 352.78 ml (range, 300-410 ml). All the injured meniscuses were repaired. All patients were followed up, and the average time of follow up was 16.61 months (range, 14-22 months). Bone union was achieved at a mean of 12 weeks (range, 10-14 weeks). The mean degree of knee extension was 1.11°(range, 0-5°), and the mean degree of knee flexion was 120.56°(range, 110-130°). The mean points of KSS were 83 (range, 74-89 points). According to the criteria of KSS, 14 patients had clinical outcomes rated as excellent and 4 patients were rated as good. Conclusion: Our results suggested that Combined lateral peripatellar and posteromedial approaches in the treatment of Schatzker type IV tibial plateau fractures involving posteromedial plane acquired satisfying outcomes. It was good for repairing the injured meniscus through our approaches.

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Section: Discussionmentioning

confidence: 99%

Combined lateral peripatellar and posteromedial approaches for Schatzker type IV tibial plateau fractures involving posteromedial plane: a prospective study

Zhang

Yin

Zhao

et al. 2020

BMC Musculoskelet Disord

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“…Soft tissue injuries with these injuries may vary and treatment is uncertain [7, 18, 23]. No definitive study has determined that closed or open treatment of TPFs is superior [8, 10, 12, 14, 19] but accurate reduction may provide better long‐term results [14, 15]. The posterolateral quadrant of the articular surface is the most difficult to get accurately reduced with closed treatment and fluoroscopic aided reduction techniques [12].…”

Section: Discussionmentioning

confidence: 99%

“…One concern with CRIF could be the high incidence of intra‐articular soft tissue injuries not addressed when the surgeon does not visualize the joint surface [1]. Despite this, the functional relevance of the type of surgical technique in relation to long‐term outcomes with these injuries remains unclear [15].…”

Section: Introductionmentioning

confidence: 99%

A sub-meniscal arthrotomy improves the medium-term patient outcome of tibial plateau fractures

Buckley

Schneider

Duffy

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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“…The internal and external condyle of the tibia is in the lower part of the body and is vulnerable to trauma in daily life. Fractures of the internal and external tibial condyle occur most frequently in long tubular fractures of the whole body, accounting for about 12% [1].Fractures are often caused by strenuous exercise and high-energy trauma, such as overloading, motor vehicle accidents, or falls [2].The fracture of 1/3 of the sub condyle of the internal and external tibial condyle is prone to damage the main blood feeding nourishing artery, and the fracture does not heal or is delayed due to the poor blood supply at the distal end [3].High energy tibial fractures are often comminuted fractures with soft tissue open injuries, vascular and nerve injuries. Uncertain blood supply and loss of soft tissue cover are the main causes of infection in open fractures [4].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Compression Fracture of Tibial Condyle in Long-Distance Runners

2020

IJPHPM

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Among the sports injuries of long-distance runners, knee joint injuries are relatively common. According to the data, knee joint injuries account for about 25% of all kinds of sports injuries, ranking the first among all kinds of sports injuries. As to the cause and mechanism of injury, the most common injuries in this area are bone cartilage injury, meniscus injury, patellar fracture, collateral ligament and cruciate ligament injury. However, there are few studies on the compressibility fracture of tibial condyle and external condyle, so it is essential for long-distance runners to carry out regular training with correct technical specifications. The purpose of this paper is to solve the problem of the occurrence and development of the treatment of the compression fracture of the tibial condyle in long-distance runners. By studying the causes and mechanisms of the injuries, the causes and mechanisms of the injuries are analyzed and discussed. Scientific training methods and necessary preventive measures should be adopted to train more excellent athletes, to embody the effective value of this project for human body exercise. The results showed that the occurrence of the compression fracture of the tibial condyle of the knee joint was significantly related to the scientific nature of the training method, the intensity of the training and the length of time. Compared with traditional medical treatment, the new treatment in this paper can improve the curative effect by 30%. In the later rehabilitation training, I could improve my physical quality as soon as possible. The rehabilitation index of the patients with long-distance runners in the experiment increased by 20%, and the exercise development index increased by 12.5%.

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Comparative Analysis of Clinical Outcomes of Tibial Plateau Fractures and Computed Tomography Examinations

Cited by 5 publications

References 13 publications

Combined lateral peripatellar and posteromedial approaches for Schatzker type IV tibial plateau fractures involving posteromedial plane: a prospective study

Combined lateral peripatellar and posteromedial approaches for Schatzker type IV tibial plateau fractures involving posteromedial plane: a prospective study

A sub-meniscal arthrotomy improves the medium-term patient outcome of tibial plateau fractures

Treatment of Compression Fracture of Tibial Condyle in Long-Distance Runners

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