Navigated reconstruction of tibial head depression fractures by inflation osteoplasty

Panzica, Martin; Suero, Eduardo M.; Omar, Mohamed; Bretin, Philipp; Krettek, Christian; Citak, Musa

doi:10.3233/thc-130765

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…In recent literature, two experimental–biomechanical 8,9 and few cadaveric and clinical studies 10 –12 have shown good results for the short term in five patients. Furthermore, calcium phosphate cement augmentation has better mechanical stability than the use of cancellous bone.…”

Section: Introductionmentioning

confidence: 94%

“…Indication for balloon repositioning and tibioplasty includes depression fractures and combined depression fractures in the medial or lateral tibial plateau area. [5][6][7] In recent literature, two experimental-biomechanical 8,9 and few cadaveric and clinical studies [10][11][12] have shown good results for the short term in five patients. Furthermore, calcium phosphate cement augmentation has better mechanical stability than the use of cancellous bone.…”

Section: Introductionmentioning

confidence: 99%

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Minimally invasive treatment of tibial plateau depression fractures using balloon tibioplasty: Clinical outcome and absorption of bioabsorbable calcium phosphate cement

Greimel

Weber

Renkawitz

et al. 2020

J Orthop Surg (Hong Kong)

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The exact reconstruction of the tibial plateau and articular surface is the main operative aim in the treatment of tibial plateau depression fractures. For selected cases, a novel technique with the use of balloon tibioplasty in combination of bioabsorbable calcium phosphate cement is available. In this study, the first objective was to answer the question whether the clinical outcome parameters after balloon tibioplasty are comparable to open reduction procedures described in the literature. Secondly, we asked whether the cement absorption is safe in relation to adverse effects like osteolysis and measured the absorption ability during the bone conversion process in the proximal tibia bone. Eight patients (mean age 54 years; 4 males and 4 females) received the abovementioned surgical procedure. Mean follow-up period was 27 months. This study evaluated clinical outcome and radiological measured cement absorption within the postoperative course. Cement absorption was measured on X-rays and calculated based on the greatest extend on anterior–posterior and lateral view radiographs just after the operation on the latest available follow-up. WOMAC score showed a mean of 93. Radiologic absorption was 1/5 at a mean of 18 months. No osteolysis reaction was seen surrounding the cement. This far, promising clinical and radiological results have been shown with WOMAC scores comparable to the results of noninjured knees. The indication for this relatively new technique is restricted to isolated depression fractures. It is a useful tool to facilitate the reduction of select depressed tibial fractures. The radiologic absorption effect seems to be quite fast in bone remodeling and safe without any osteolysis or osseous reaction.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Minimally invasive treatment of tibial plateau depression fractures using balloon tibioplasty: Clinical outcome and absorption of bioabsorbable calcium phosphate cement

Greimel

Weber

Renkawitz

et al. 2020

J Orthop Surg (Hong Kong)

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Die minimal-invasive Versorgung von Tibiakopfimpressionsfrakturen mit Hilfe der Ballonreposition und Tibioplastie

Craiovan

Keshmiri²,

Springorum³

et al. 2014

Orthopäde

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Comparative evaluation of minimally invasive ‘tibial tuberoplasty’ surgical technique versus conventional open surgery for Schatzker II–III tibial plateau fractures: design of a multicentre, randomised, controlled and blinded trial (TUBERIMPACT study)

et al. 2019

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IntroductionFractures of the tibial plateau are in constant progression. They affect an elderly population suffering from a number of comorbidities, but also a young population increasingly practicing high-risk sports. The conventional open surgical technique used for tibial plateau fractures has several pitfalls: bone and skin devascularisation, increased risks of infection and functional rehabilitation difficulties. Since 2011, Poitiers University Hospital is offering to its patients a new minimally invasive technique for the reduction and stabilisation of tibial plateau fractures, named ‘tibial tuberoplasty’. This technique involves expansion of the tibial plateau through inflation using a kyphoplasty balloon, filling of the fracture cavity with cement and percutaneous screw fixation. We designed a study to evaluate the quality of fracture reduction offered by percutaneous tuberoplasty versus conventional open surgery for tibial plateau fracture and its impact on clinical outcome.Methods and analysisThis is a multicentre randomised controlled trial comparing two surgical techniques in the treatment of tibial plateau fractures. 140 patients with a Schatzker II or III tibial plateau fracture will be recruited in France. They will be randomised either in tibial tuberoplasty arm or in conventional surgery arm. The primary outcome is the postoperative radiological step-off reduction blindly measured on CT scan (within 48 hours post-op). Additional outcomes include other radiological endpoints, pain, functional abilities, quality of life assessment and health-economic endpoints. Outcomes assessment will be performed at baseline (before surgery), at day 0 (surgery), at 2, 21, 45 days, 3, 6, 12 and 24 months postsurgery.Ethics and disseminationThis study has been approved by the ethics committee Ile-De-France X and will be conducted in accordance with current Good Clinical Practice (GCP) guidelines, Declaration of Helsinki and standard operating procedures. The results will be disseminated through presentation at scientific conferences and publication in peer-reviewed journals.Trial registration numberClinicaltrial.gov:NCT03444779.

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Navigated reconstruction of tibial head depression fractures by inflation osteoplasty

Cited by 3 publications

References 23 publications

Minimally invasive treatment of tibial plateau depression fractures using balloon tibioplasty: Clinical outcome and absorption of bioabsorbable calcium phosphate cement

Minimally invasive treatment of tibial plateau depression fractures using balloon tibioplasty: Clinical outcome and absorption of bioabsorbable calcium phosphate cement

Die minimal-invasive Versorgung von Tibiakopfimpressionsfrakturen mit Hilfe der Ballonreposition und Tibioplastie

Comparative evaluation of minimally invasive ‘tibial tuberoplasty’ surgical technique versus conventional open surgery for Schatzker II–III tibial plateau fractures: design of a multicentre, randomised, controlled and blinded trial (TUBERIMPACT study)

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