Função e qualidade de vida de pacientes com fratura do planalto tibial operados com placa bloqueada ou convencional: estudo comparativo

Souza, Bruno Gonçalves Schröder e; Leite, Thiago Avelino; Silva, Tarsis Aparecido Bueno da; Candido, Carlos Otavio Fabiano de Faria; Almeida, Felipe Freesz de; Oliveira, Valdeci Manoel de

doi:10.1016/j.rbo.2017.09.004

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Some authors have found no clinical or functional advantage with the use of locking plates for the treatment of tibial plateau fractures. 10 However, the authors cited used locking plates in 28% of cases of grade I to IV fractures, for which there is no medial instability. In the present investigation, locking plates were only used for grade V fractures, in which rigid lateral fixation stabilizes the fracture of the medial plateau without the use of an additional plate.…”

Section: Discussionmentioning

confidence: 99%

Cost-effectiveness Analysis of Schatzker V Tibial Plateau Fractures Treated with Locking Plate in a University Hospital

Forni¹,

Aran²,

Godinho³

et al. 2021

ijSciences

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This study analyzes the cost-effectiveness of the locking plate in grade V tibial plateau fractures in a university hospital. A retrospective study was conducted in patients with Schatzker V tibial plateau fracture. Patients were randomly divided into control (conventional plate, n = 10) and study (locking plate, n = 10) groups. Visual analog scale for pain intensity and WOMAC index were assessed. Total cost of surgery paid by the hospital and the amount paid by the public healthcare system for hospitalization were studied. Among the studied patients, 75% were males, 15% had exposed fracture, 70% used external fixator prior to osteosynthesis, and 10% presented infection. A significant difference in pain intensity was found between the groups (p = 0.0047), with less pain in the study group. WOMAC index was significantly lower in the study group (p = 0.0170). Mean surgery time and mean hospital stay were greater in the control group, but the differences were non-significant (p = 0.2051 and 0.8065, respectively). Total cost of surgery paid by the hospital was lower in the control group. Amount paid by the public healthcare system was higher in the control group. Total cost was lower in the control group. Two of the patients (control group) were reoperated within 30 days of the postoperative period. Thus, total cost of treatment was higher in the control group. Treatment for grade V tibial plateau fractures with a lateral locking plate proved to be more cost effective than treatment with a conventional a double plate and two access points.

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Section: Discussionmentioning

confidence: 99%

Cost-effectiveness Analysis of Schatzker V Tibial Plateau Fractures Treated with Locking Plate in a University Hospital

Forni¹,

Aran²,

Godinho³

et al. 2021

ijSciences

View full text Add to dashboard Cite

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Effects of Surgical Treatment Guided by the Three-Column Classification Method on Knee Joint Function and Postoperative Complications in Patients with Tibial Plateau Fractures

Guo

Liu

Feng³

et al. 2022

Computational Intelligence and Neuroscience

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Many patients with tibial plateau fractures present with various degrees of soft tissue contusion and severely damaged articular surface, ligament, and vascular nerves, and thus how to treat this kind of patient has become one of the great difficulties in clinical practice. Therefore, we aim to investigate the effects of surgical treatment guided by the three-column classification method on knee joint function and postoperative complications in patients with tibial plateau fractures. A total of 120 patients with three-column tibial plateau fractures admitted to our hospital from January 2018 to January 2019 were selected and divided into group A (n = 60) and group B (n = 60). Among them, the group A patients were treated with an anterior lateral approach in floating positions combined with reduction plate internal fixation with an L-shaped approach in the posteromedial joint, while the patients in group B received reduction plate internal fixation with a knee midline incision in supine positions. After that, the perioperative indexes, knee function scores, the MOS item short-from health survey (SF-36) scores, complication rate (CR), and overall treatment efficacy of the patients were compared between the two groups. The perioperative indexes in group A were significantly better than those in group B (P < 0.001); the knee function scores and SF-36 scores in group A were significantly higher than those in group B (P < 0.001); the CR in group A was significantly lower than that in group B (P < 0.001); the treatment efficacy in group A was significantly better than that in group B (P < 0.05). The three-column classification method, with highly instructive significance in tibial plateau fracture surgery, can improve treatment efficacy and reduce the incidence of complications, which is worthy of application and promotion in clinical practice.

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Função e qualidade de vida de pacientes com fratura do planalto tibial operados com placa bloqueada ou convencional: estudo comparativo

Cited by 2 publications

References 16 publications

Cost-effectiveness Analysis of Schatzker V Tibial Plateau Fractures Treated with Locking Plate in a University Hospital

Cost-effectiveness Analysis of Schatzker V Tibial Plateau Fractures Treated with Locking Plate in a University Hospital

Effects of Surgical Treatment Guided by the Three-Column Classification Method on Knee Joint Function and Postoperative Complications in Patients with Tibial Plateau Fractures

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