The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures

Zhang, Qing; Zhao, Jun; Zhang, Guangcheng; Tang, Jiazhu; Zhu, Wenwu; Nie, Mingjun

doi:10.12669/pjms.38.4.5340

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…The muscle function around the hip joint plays an important role in the improvement of the proximal femur and hip joint function and restoration of gait after orthopaedic osteotomy. 18 Moreover, apart from the bone and limb force line, improving the muscle function around the hip is necessary, which should be regarded as an important part of the treatment of FD of the proximal femur with varus deformity.…”

Section: Discussionmentioning

confidence: 99%

Muscle function around the hip after operation for Fibrous Dysplasia of Proximal Femur with Varus Deformity

Lang¹,

Zhang²

2023

Pak J Med Sci

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Objectives: This study aimed to analyse the clinical effect of surgery for patients with fibrous dysplasia (FD) of the proximal femur with varus deformity, detect the muscle function around the hip joint. Methods: This is a retrospective study. A total of 20 patients who underwent operation for FD of the proximal femur with varus deformity at West China Hospital, from January 2018 to October 2022 were included in this study. The peak torque (PT) of muscle strength during abduction, adduction, flexion and extension of bilateral hip joints was measured by an isokinetic muscle test and training system associated with the comparison of bilateral hip joints, to evaluate the function of muscles around the hip joint after operation. Results: The difference between the length of the affected limb and the healthy side was 1~2 cm in seven cases and <1 cm in 13 cases. The force line showed no abnormality in 15 affected limbs, which deviated from the center of the knee joint by 3-5 mm in five cases. The average PT during abduction of hip joints on the affected side of 20 patients was significantly lower than that on the healthy side, which was also reduced evidently during adduction and flexion of hip joints on the affected side compared with that on the healthy side. Conclusions: After effective recovery of the force line and length of the affected limb in patients with FD of the proximal femur with deformity, functional abnormalities of muscles are still present to a certain extent. doi: https://doi.org/10.12669/pjms.39.5.6987 How to cite this: Lang Z, Zhang X. Muscle function around the hip after operation for Fibrous Dysplasia of Proximal Femur with Varus Deformity. Pak J Med Sci. 2023;39(5):---------. doi: https://doi.org/10.12669/pjms.39.5.6987 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Muscle function around the hip after operation for Fibrous Dysplasia of Proximal Femur with Varus Deformity

Lang¹,

Zhang²

2023

Pak J Med Sci

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“…The internal stent and ordinary steel plate used during the procedure can effectively support the affected articular surface and promote the recovery of the joint function. 4 However; traumatic arthritis, joint swelling, joint stiffness, joint pain, and other side effects are frequent after the operation, they aggravate the degree of oxidative stress, hinder the postoperative rehabilitation, and may lead to tibial plateau deformity and a diminished joint mobility. Therefore, effective supplementary treatment plans combined with the surgical treatment are being actively sought after.…”

Section: Introductionmentioning

confidence: 99%

“…The internal stent and ordinary steel plate used during the procedure can effectively support the affected articular surface and promote the recovery of the joint function. 4 …”

Section: Introductionmentioning

confidence: 99%

Effects of sodium hyaluronate administration on levels of antioxidant enzymes, serum substance P and neuropeptide Y in patients undergoing locking plate fixation for tibial plateau fractures

Shan¹,

Qin²,

Yao

2023

Pak J Med Sci

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Objective: To analyze the effects of sodium hyaluronate administration on the serum levels of antioxidase, substance P (SP), and neuropeptide Y (NPY) in patients undergoing locking plate fixation (LPF) for tibial plateau fractures (TPF). Methods: We retrospectively analyzed the records of 66 patients with TPF who received treatment in the Beijing Chao-yang Hospital from February 2017 to August 2020. According to the treatment records, 33 patients underwent LPF surgery (control-group), and 33 patients underwent LPF plus sodium hyaluronate treatment (observation-group). The levels of antioxidant enzymes (superoxide dismutase (SOD), catalase (CAT) and total antioxidant capacity (TAC)), SP and NPY. Results: Seven days after LPF operations, both groups showed lower levels of SOD, CAT, and TAC compared to pre-surgery levels, while levels of SP and NPY were higher. However, the observation group showed higher levels of SOD, CAT, and TAC compared to the control group, and lower levels of SP and NPY in the control group (P<0.05). Conclusion: The treatment of TPF with LPF plus sodium hyaluronate administration has been shown to effectively reduce oxidative stress reactions, improve SP and NPY levels. doi: https://doi.org/10.12669/pjms.39.4.7460 How to cite this: Shan L, Si Q, Yao P. Effects of sodium hyaluronate administration on levels of antioxidant enzymes, serum substance P and neuropeptide Y in patients undergoing locking plate fixation for tibial plateau fractures. Pak J Med Sci. 2023;39(4):---------. doi: https://doi.org/10.12669/pjms.39.4.7460 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Evaluation of the bilateral dual plate internal fixation technique for rotationally dislocated tibial plateau fractures

Tang,

Zhang,

et al. 2023

Preprint

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Purpose This study aims to explore the clinical efficacy of dual plate internal fixation through a bilateral approach for the treatment of rotationally dislocated tibial plateau fractures. Methods Clinical data of 20 patients (6 male, 14 female) with rotational dislocation type tibial flat fractures treated from January 2020 to April 2022 were retrospectively analyzed. Out of all fractures, 12 occurred on the right side, and 8 on the left side. The average age of the patients was 51.9 ± 13.11 years. All patients underwent surgical treatment using the bilateral approach with dual plate internal fixation, and the related surgical indicators were recorded. After surgery, data such as fracture line disappearance time (in months), tibial plateau varus angle (TPA), tibial plateau posterior angle (PA), joint range of motion (ROM), New York Hospital for Special Surgery Hospital (HSS) knee joint function score, Rasmussen score, visual analog scale (VAS) score for pain, and Fugl–Meyer motor function assessment (FMA) score were recorded, along with the incidence of postoperative complications. Results All patients were followed up for 13.55 ± 9.75 months. The average time for the disappearance of the patients’ fracture line was 3.75 ± 0.91 months. Comparisons of TPA, PA, ROM, HSS score, Rasmussen score, and VAS score at immediately and 3 month after surgery, as well as 6 and 12 months after surgery. The research results revealed that there is a statistically significant differences (P < 0.05) between 3, 6, and 12 months after surgery and immediately after surgery. The FMA score indicated an excellent and good rate of 80% at 12 months after surgery. Postoperative complications included superficial skin infection at the incision in 2 (10.0%) cases, delayed union of fractures in 2 (10%) cases, limited mobility in 1 (5.0%) case, knee instability in 2 (10.0%) cases, and traumatic arthritis in 4 (20%) cases. Conclusion The bilateral approach involving dual plate internal fixation was used to treat rotational dislocation tibial plateau fractures. This technique has the advantages of fast intraoperative reduction, high stability of internal fixation, fewer postoperative complications, and good recovery of knee joint function, proving its potential as an effective and safe treatment method.

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The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures

Cited by 3 publications

References 19 publications

Muscle function around the hip after operation for Fibrous Dysplasia of Proximal Femur with Varus Deformity

Muscle function around the hip after operation for Fibrous Dysplasia of Proximal Femur with Varus Deformity

Effects of sodium hyaluronate administration on levels of antioxidant enzymes, serum substance P and neuropeptide Y in patients undergoing locking plate fixation for tibial plateau fractures

Evaluation of the bilateral dual plate internal fixation technique for rotationally dislocated tibial plateau fractures

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