The application of a three-column internal fixation system with anatomical locking plates on comminuted fractures of the tibial plateau

Abstract

A three-column internal fixation system with anatomical locking plates on tibial plateau is an effective and safe tool to treat complex three-column fractures of the tibial plateau and it is more convenient than the common plate.

Effect of Protocol of Nursing Care on Clinical Outcomes of Post Operative patients Tibial Plateau Fracture Internal Fixation Surgery

“…It was clarifying that all (100.0%) control group had poor knowledge. Related to study group it was noticed that all (100.0%) of them had poor knowledge pre intervention compared by all (100.0%) of them had good knowledge post intervention, as presented in figure (9). There was a statistically significant difference between the study group pre and post the intervention related to total knowledge level about tibial plateau fracture internal fixation surgery, while (P value= 0.0001).…”

“…Significance of the study Tibia plateau fractures are notoriously difficult to manage, particularly when there is a medial or posteromedial component. The treatment for tibia plateau fractures aim to achieve anatomical reduction of the joint surface and stable osteosynthesis in order to enable early mobilization, so as to prevent complications such as joint stiffness and general post-operative complications such as deep vein thrombosis or pulmonary embolism (9) . Proper technique for pin insertion and meticulous pin tract care, pin site infection may be the most common complication, occurring in 30% of patients.…”

Importance of the posterior plate in three-column tibial plateau fractures: Finite element analysis and clinical validation

“…There was no difference in follow-up period between the two matched groups. The HSS was categorized as excellent (for a score above 85), good (70-84), moderate (60-69), poor (below 59) and the Rasmussen score was categorized as excellent (for a score above 27), good (20-26), moderate (10)(11)(12)(13)(14)(15)(16)(17)(18)(19), poor (below 9). In our series, two cases from dual-plates group were assessed as moderate in both two functional assessment system and the rest were classi ed as excellent or good, none of the cases had a poor outcome.…”

“…But when there are fragments in the posterior column, it usually showed the unparallel fracture lines discrepant towards the fracture lines of the lateral and the medial columns, implies the risk loss of reduction of the posterior column increases if only aiming at the medial and the lateral column [11,12]. Hence, some authors have advocated the triple-plates method even multiple-plates method, emphasized the importance of the stabilization of posterior column [5,11,13,14].…”

Principios quirúrgicos en fracturas de platillos tibiales con compromiso de columna posterior

“…Se han descrito en la literatura diversas opciones: placas en T, L o rectas (bloqueadas o convencionales), placas tercio de tubo, placas de reconstrucción y recientemente la producción de placas específicas para la columna posterior. 42 Los principios del manejo postoperatorio se rigen por las mismas reglas comunes a todas las fracturas de platillos tibiales. Idealmente, lograr rangos de movilidad completo durante las primeras 4 semanas, con restricción de carga de peso en promedio durante 12 semanas, dependiendo de la consolidación (definida radiológicamente como la unión de al menos 3 corticales durante el periodo de seguimiento), y características específicas de cada paciente.…”