Diagnosis and treatment of hyperextension bicondylar tibial plateau fractures
Abstract Purpose To report the diagnosis, injury mechanisms, and imaging characteristics of hyperextension bicondylar tibial plateau fractures and examine the indications and feasibility of the modified anterior midline incision as a treatment strategy. Methods We performed a retrospective analysis...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1220-z |
| _version_ | 1811304460235833344 |
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| author | Ruibo Zhao Zhangyuan Lin Haitao Long Min Zeng Liang Cheng Yong Zhu |
| author_facet | Ruibo Zhao Zhangyuan Lin Haitao Long Min Zeng Liang Cheng Yong Zhu |
| author_sort | Ruibo Zhao |
| collection | DOAJ |
| description | Abstract Purpose To report the diagnosis, injury mechanisms, and imaging characteristics of hyperextension bicondylar tibial plateau fractures and examine the indications and feasibility of the modified anterior midline incision as a treatment strategy. Methods We performed a retrospective analysis of 11 cases of hyperextension bicondylar tibial plateau fractures who were treated with open reduction and internal fixation, predominantly via an anterolateral and posteromedialdouble incision or a modified anterior midline incision. Radiological and functional evaluations were performed. Results Eleven patients were followed-up for a mean period of 11.5 months (range 3–24 months). The mean time to radiographic bony union was 12.5 weeks (range 10–26 weeks). At final follow-up, the average Rasmussen functional score was 26.8 (range 24 − 29); five patients had an excellent rating, and six a good rating. The average range of motion of the affected knees was 3.4–130° postoperatively. Fixation failure was not observed in any of the treated fractures. Conclusion Hyperextension bicondylar tibial plateau fractures show a special Tiankeng-like collapse characteristic, while the changes in posterior tibial slope angle are easy to overlook. The modified anterior midline incision is a safe and effective approach for treatment of hyperextension bicondylar tibial plateau fractures with less rear displacement. Open reduction and double plating for the treatment of hyperextension bicondylar tibial plateau fractures provides excellent results. |
| first_indexed | 2024-04-13T08:06:27Z |
| format | Article |
| id | doaj.art-0619293bc9d5482aa6026310d8eb41db |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T08:06:27Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-0619293bc9d5482aa6026310d8eb41db2022-12-22T02:55:07ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-06-011411810.1186/s13018-019-1220-zDiagnosis and treatment of hyperextension bicondylar tibial plateau fracturesRuibo Zhao0Zhangyuan Lin1Haitao Long2Min Zeng3Liang Cheng4Yong Zhu5Department of Orthopedic Trauma, Xiangya Hospital, Central South UniversityDepartment of Orthopedic Trauma, Xiangya Hospital, Central South UniversityDepartment of Orthopedic Trauma, Xiangya Hospital, Central South UniversityDepartment of Orthopedic Trauma, Xiangya Hospital, Central South UniversityDepartment of Orthopedic Trauma, Xiangya Hospital, Central South UniversityDepartment of Orthopedic Trauma, Xiangya Hospital, Central South UniversityAbstract Purpose To report the diagnosis, injury mechanisms, and imaging characteristics of hyperextension bicondylar tibial plateau fractures and examine the indications and feasibility of the modified anterior midline incision as a treatment strategy. Methods We performed a retrospective analysis of 11 cases of hyperextension bicondylar tibial plateau fractures who were treated with open reduction and internal fixation, predominantly via an anterolateral and posteromedialdouble incision or a modified anterior midline incision. Radiological and functional evaluations were performed. Results Eleven patients were followed-up for a mean period of 11.5 months (range 3–24 months). The mean time to radiographic bony union was 12.5 weeks (range 10–26 weeks). At final follow-up, the average Rasmussen functional score was 26.8 (range 24 − 29); five patients had an excellent rating, and six a good rating. The average range of motion of the affected knees was 3.4–130° postoperatively. Fixation failure was not observed in any of the treated fractures. Conclusion Hyperextension bicondylar tibial plateau fractures show a special Tiankeng-like collapse characteristic, while the changes in posterior tibial slope angle are easy to overlook. The modified anterior midline incision is a safe and effective approach for treatment of hyperextension bicondylar tibial plateau fractures with less rear displacement. Open reduction and double plating for the treatment of hyperextension bicondylar tibial plateau fractures provides excellent results.http://link.springer.com/article/10.1186/s13018-019-1220-zTibial plateau fractureBicondylarHyperextentionAnterior midline incision |
| spellingShingle | Ruibo Zhao Zhangyuan Lin Haitao Long Min Zeng Liang Cheng Yong Zhu Diagnosis and treatment of hyperextension bicondylar tibial plateau fractures Journal of Orthopaedic Surgery and Research Tibial plateau fracture Bicondylar Hyperextention Anterior midline incision |
| title | Diagnosis and treatment of hyperextension bicondylar tibial plateau fractures |
| title_full | Diagnosis and treatment of hyperextension bicondylar tibial plateau fractures |
| title_fullStr | Diagnosis and treatment of hyperextension bicondylar tibial plateau fractures |
| title_full_unstemmed | Diagnosis and treatment of hyperextension bicondylar tibial plateau fractures |
| title_short | Diagnosis and treatment of hyperextension bicondylar tibial plateau fractures |
| title_sort | diagnosis and treatment of hyperextension bicondylar tibial plateau fractures |
| topic | Tibial plateau fracture Bicondylar Hyperextention Anterior midline incision |
| url | http://link.springer.com/article/10.1186/s13018-019-1220-z |
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