Roentgenographic Measurement of Tibial-Plateau Depression Due to Fracture

Moore, Tillman M.; Harvey, J. Paul

doi:10.2106/00004623-197456010-00016

Cited by 163 publications

(88 citation statements)

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“…We also tried to correct valgus malalignment with iliac crest bone wedges diminishing in size from lateral to medial. Moore and Harvey described a normal tibia plateau angle of 14 deg with a standard deviation (SD) of ±3.6 deg down slope [15]. We increased the tibial slope significantly by a mean of 9.4 deg of posterior inclination in our genu recurvatum population, from 11.7 deg SD±3.5 to 21.1 deg ±SD 5.7.…”

Section: Discussionmentioning

confidence: 58%

“…A true lateral radiograph of the knee in at least 30 deg of flexion was used to determine the length of the patella tendon according to two methods: Insall-Salvati and Blackburne-Peel [2,8]. The inclination angle of the tibial plateau was measured on a lateral radiograph according to Moore and Harvey [15]. The SPSS program was used for the statistical analyses.…”

Section: Methodsmentioning

confidence: 99%

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Anterior opening wedge osteotomy of the proximal tibia for anterior knee pain in idiopathic hyperextension knees

Raaij¹,

Malefijt²

2006

International Orthopaedics (SICOT)

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We analysed 20 patients with 24 knees affected by idiopathic genu recurvatum who were treated with an anterior opening wedge osteotomy of the proximal tibia because of anterior knee pain. We managed to attain full satisfaction in 83% of the patients with a mean follow-up of 7.4 years. The mean Hospital for Special Surgery score was 90.3 (range 70.5-99.5), and the mean Knee Society score score was 94.6 (70-100) for function and 87.7 (47-100) for pain. The mean Western Ontario and McMaster University Osteoarthritis Index score for knee function was 87.5 (42-100), for stiffness 82.8 (25-100) and for pain 87.3 (55-100). Radiographs showed a significant increase in posterior tibial slope of 9.4 deg and a significant decrease of patellar height according to the Blackburne-Peel method of 0.16 postoperatively. No cases of non-union, deep infection or compartment syndrome were seen. No osteoarthritic changes in the lateral or medial knee compartment were found with more than 5 years' follow-up in 16 patients with 19 affected knees.

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Section: Discussionmentioning

confidence: 58%

Section: Methodsmentioning

confidence: 99%

Anterior opening wedge osteotomy of the proximal tibia for anterior knee pain in idiopathic hyperextension knees

Raaij¹,

Malefijt²

2006

International Orthopaedics (SICOT)

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“…Less invasive technique and procedure provide stable fixation to fracture fragments, restored anatomy and permit early mobilization and help to prevent further soft tissue injury and easy wound care is possible [19]. JESS fixation works on the principle of ligamentotaxis to help achieve and restore articular congruity in both sagittal and coronel planes, metaphysio-diaphyseal alignment, when used with or without cancellous screw [20], [21], [22], [23].…”

Section: Discussionmentioning

confidence: 99%

A Prospective analysis of the efficacy of JESS (Joshi’s External Stabilizing System) fixator in management of complex tibial plateau fractures

Kumar¹,

Kumar²,

Kumar³

et al. 2014

IOSRJDMS

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“…15 A physician assisted traction view is often helpful in higher energy fractureswith severe impaction and meta-diaphyseal dissociation. The ligamento-taxis offered by gentle in line traction often reduces the split components and can give the treating physician added information about the fracture pattern prior to computed tomography (CT) scan.…”

Section: Imaging Techniquesmentioning

confidence: 99%

Plating as an operative management of intra articular fractures of the upper end of tibia: a prospective clinical study

et al. 2017

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Background: Tibial plateau fracture management is challenging because of the severe displacement of the bony fragments, the concomitant depression and impaction of the cancellous subchondral bone, and the inevitable associated cartilage injury.Methods: A prospective cohort study of 25 patients who suffered high energy intra-articular fractures of proximal tibia was done and they were diagnosed and classified according to Schatzker’s classification. The study was done to study the outcomes of surgical management of high energy tibial plateau fractures with buttress plate, to achieve anatomical reduction and absolute stable internal fixation to prevent malunion, to achieve early mobilisation, to prevent post-operative knee stiffness and also to determine timing of operation after trauma and sequence of fixation of bicondylar fractures. All patients were treated with open reduction and internal fixation with a buttress plate either a lateral, medial or bicondylar plating.Results: Average radio-graphic bony union time was 12 weeks. Average full weight bearing time was 13 weeks. Knee stiffness improved with physiotherapy and full range was achieved on an average in 8 weeks, mean range of movement 0-124.5º was achieved. 4 patients (16%) developed infection. Conclusions: Fractures of upper end of tibia can be treated with the plating technique, to achieve anatomical reduction and stable internal fixation with 82% good functional outcome. The plating technique facilitates early mobilisation of injured joint and attains good range of movements. Minimal mal reduction does not seem to vitiate the results. The infection rate of 16% is of concern with this procedure, but responds well to antibiotics and surgical debridement.

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Roentgenographic Measurement of Tibial-Plateau Depression Due to Fracture

Cited by 163 publications

References 0 publications

Anterior opening wedge osteotomy of the proximal tibia for anterior knee pain in idiopathic hyperextension knees

Anterior opening wedge osteotomy of the proximal tibia for anterior knee pain in idiopathic hyperextension knees

A Prospective analysis of the efficacy of JESS (Joshi’s External Stabilizing System) fixator in management of complex tibial plateau fractures

Plating as an operative management of intra articular fractures of the upper end of tibia: a prospective clinical study

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