Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases
Abstract Background The existence of a “bare area” at the anterior plateau has been observed in cases where anteromedial and/or anterolateral proximal tibial locking plates are used for fixation in the treatment of hyperextension tibial plateau fractures (HTPF). The objective of this study is to int...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06786-z |
| _version_ | 1797454134069166080 |
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| author | Zhijian Sun Ting Li Yabo Liu Yujiang Mao Weihua Li Qi Guo Shaoliang Li Changrun Li |
| author_facet | Zhijian Sun Ting Li Yabo Liu Yujiang Mao Weihua Li Qi Guo Shaoliang Li Changrun Li |
| author_sort | Zhijian Sun |
| collection | DOAJ |
| description | Abstract Background The existence of a “bare area” at the anterior plateau has been observed in cases where anteromedial and/or anterolateral proximal tibial locking plates are used for fixation in the treatment of hyperextension tibial plateau fractures (HTPF). The objective of this study is to introduce the rim plate fixation technique and evaluate its clinical efficacy. Methods A retrospective analysis was conducted on HTPF patients who underwent treatment with a combination of rim plate and proximal tibial locking plate at our hospital between April 2015 and December 2019. All patients were followed up for a minimum of one year. Open reduction and internal fixation were performed using anteromedial/posteromedial and/or anterolateral approaches for all cases. The surgical strategies employed for rim plate fixation were introduced, and both radiographic and clinical outcomes were assessed. Results Thirteen patients were enrolled in the study, with an average follow-up time of 4.3 years. Satisfactory reduction was achieved and radiographically maintained in all cases. Additionally, all patients exhibited satisfactory clinical functions, as evidenced by a mean hospital for special surgery (HSS) knee score of 96.2 ± 2.0 (range: 90–98). Furthermore, no wound complications or implant breakage were observed in this series. Conclusion The combination of the rim plate and proximal tibial plate proved to be an effective fixation configuration, resulting in satisfactory clinical outcomes. |
| first_indexed | 2024-03-09T15:32:52Z |
| format | Article |
| id | doaj.art-239f80424295473cbd3933c5225aba64 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-09T15:32:52Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-239f80424295473cbd3933c5225aba642023-11-26T12:07:18ZengBMCBMC Musculoskeletal Disorders1471-24742023-08-012411610.1186/s12891-023-06786-zRim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of casesZhijian Sun0Ting Li1Yabo Liu2Yujiang Mao3Weihua Li4Qi Guo5Shaoliang Li6Changrun Li7Department of Orthopedic Trauma, Beijing Jishuitan HospitalDepartment of Orthopedic Trauma, Beijing Jishuitan HospitalDepartment of Orthopedic Trauma, Beijing Jishuitan HospitalDepartment of Orthopedic Trauma, Beijing Jishuitan HospitalDepartment of Orthopedic Trauma, Beijing Jishuitan HospitalDepartment of Orthopedic Trauma, Beijing Jishuitan HospitalDepartment of Orthopedic Trauma, Beijing Jishuitan HospitalDepartment of Orthopedic Trauma, Beijing Jishuitan HospitalAbstract Background The existence of a “bare area” at the anterior plateau has been observed in cases where anteromedial and/or anterolateral proximal tibial locking plates are used for fixation in the treatment of hyperextension tibial plateau fractures (HTPF). The objective of this study is to introduce the rim plate fixation technique and evaluate its clinical efficacy. Methods A retrospective analysis was conducted on HTPF patients who underwent treatment with a combination of rim plate and proximal tibial locking plate at our hospital between April 2015 and December 2019. All patients were followed up for a minimum of one year. Open reduction and internal fixation were performed using anteromedial/posteromedial and/or anterolateral approaches for all cases. The surgical strategies employed for rim plate fixation were introduced, and both radiographic and clinical outcomes were assessed. Results Thirteen patients were enrolled in the study, with an average follow-up time of 4.3 years. Satisfactory reduction was achieved and radiographically maintained in all cases. Additionally, all patients exhibited satisfactory clinical functions, as evidenced by a mean hospital for special surgery (HSS) knee score of 96.2 ± 2.0 (range: 90–98). Furthermore, no wound complications or implant breakage were observed in this series. Conclusion The combination of the rim plate and proximal tibial plate proved to be an effective fixation configuration, resulting in satisfactory clinical outcomes.https://doi.org/10.1186/s12891-023-06786-zTibial plateau fractureHyperextensionRim plate |
| spellingShingle | Zhijian Sun Ting Li Yabo Liu Yujiang Mao Weihua Li Qi Guo Shaoliang Li Changrun Li Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases BMC Musculoskeletal Disorders Tibial plateau fracture Hyperextension Rim plate |
| title | Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases |
| title_full | Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases |
| title_fullStr | Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases |
| title_full_unstemmed | Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases |
| title_short | Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases |
| title_sort | rim plate in the treatment of hyperextension tibial plateau fracture surgical technique and a series of cases |
| topic | Tibial plateau fracture Hyperextension Rim plate |
| url | https://doi.org/10.1186/s12891-023-06786-z |
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