An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach
Abstract Background There are many difficulties in the reduction and fixation of the tibial plateau fractures involving posterolateral quadrant using general plates via traditional approaches. By imaging the area above the fibulae capitulum, this study was performed to investigate the feasibility of...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-024-07311-6 |
| _version_ | 1797276204693192704 |
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| author | Xiaoji Zhou Jiangshan Zhou Huajun Qian Chunxiao Qian Bin Xu Lv Pan Xudong Chu |
| author_facet | Xiaoji Zhou Jiangshan Zhou Huajun Qian Chunxiao Qian Bin Xu Lv Pan Xudong Chu |
| author_sort | Xiaoji Zhou |
| collection | DOAJ |
| description | Abstract Background There are many difficulties in the reduction and fixation of the tibial plateau fractures involving posterolateral quadrant using general plates via traditional approaches. By imaging the area above the fibulae capitulum, this study was performed to investigate the feasibility of the trans-fibular-head approach and to design an ideal anatomical plate. Methods MRI and CT scans of the knee joint were collected from 205 healthy volunteers (103 males, 102 females). Gender and height were used to divide the volunteers into groups separately: (1) A1 group and A2 group according to gender, (2) B1 group and B2 group according to height. Based on the images, several parameters were defined and measured to describe the space above the head of the fibula. In addition, differences in these parameters between genders and height were compared. Results The narrowest distance in the bony region was (10.96 ± 1.39) mm, (5.41 ± 0.97 mm) in the bone-ligament region. The narrowest distance of bony region in the A1 group was more than that in the A2 group (11.21 ± 1.62 mm, 10.85 ± 1.47 mm, p = 0.029). The narrowest distance of the bony region was (10.21 ± 1.42) mm and (11.65 ± 1.39) mm in the B1 group and B2 group, respectively (p = 0.002). The narrowest distance of the bone-ligament region was (5.39 ± 0.78) mm and (5.22 ± 1.21) mm in the A1 group and A2 group, respectively. No statistically significant differences were observed between the A1 group and the A2 group in terms of the narrowest distance of the bone-ligament region. In the B1 group, the narrowest distance of the bone-ligament region (5.18 ± 0.71 mm) was not significantly less than that (5.31 ± 0.91 mm) in the B2 group. Conclusion The space above the fibular capitellum was ample enough to place the plate for treating tibial plateau fractures involving posterolateral quadrant. The divisions of the lateral tibial plateau by 3-dimensional CT and the parameters of each region were crucial for providing guidance for designing the anatomical plate for the trans-fibular-head approach. |
| first_indexed | 2024-03-07T15:25:01Z |
| format | Article |
| id | doaj.art-9ea2819f8e044162be2a64daa05d291d |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-07T15:25:01Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-9ea2819f8e044162be2a64daa05d291d2024-03-05T17:24:17ZengBMCBMC Musculoskeletal Disorders1471-24742024-03-0125111010.1186/s12891-024-07311-6An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approachXiaoji Zhou0Jiangshan Zhou1Huajun Qian2Chunxiao Qian3Bin Xu4Lv Pan5Xudong Chu6Department of Orthopedics, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People’s HospitalDepartment of Orthopedics, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People’s HospitalDepartment of Orthopedics, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People’s HospitalDepartment of Orthopedics, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People’s HospitalDepartment of Orthopedics, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People’s HospitalDepartment of Orthopedics, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People’s HospitalDepartment of Orthopedics, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People’s HospitalAbstract Background There are many difficulties in the reduction and fixation of the tibial plateau fractures involving posterolateral quadrant using general plates via traditional approaches. By imaging the area above the fibulae capitulum, this study was performed to investigate the feasibility of the trans-fibular-head approach and to design an ideal anatomical plate. Methods MRI and CT scans of the knee joint were collected from 205 healthy volunteers (103 males, 102 females). Gender and height were used to divide the volunteers into groups separately: (1) A1 group and A2 group according to gender, (2) B1 group and B2 group according to height. Based on the images, several parameters were defined and measured to describe the space above the head of the fibula. In addition, differences in these parameters between genders and height were compared. Results The narrowest distance in the bony region was (10.96 ± 1.39) mm, (5.41 ± 0.97 mm) in the bone-ligament region. The narrowest distance of bony region in the A1 group was more than that in the A2 group (11.21 ± 1.62 mm, 10.85 ± 1.47 mm, p = 0.029). The narrowest distance of the bony region was (10.21 ± 1.42) mm and (11.65 ± 1.39) mm in the B1 group and B2 group, respectively (p = 0.002). The narrowest distance of the bone-ligament region was (5.39 ± 0.78) mm and (5.22 ± 1.21) mm in the A1 group and A2 group, respectively. No statistically significant differences were observed between the A1 group and the A2 group in terms of the narrowest distance of the bone-ligament region. In the B1 group, the narrowest distance of the bone-ligament region (5.18 ± 0.71 mm) was not significantly less than that (5.31 ± 0.91 mm) in the B2 group. Conclusion The space above the fibular capitellum was ample enough to place the plate for treating tibial plateau fractures involving posterolateral quadrant. The divisions of the lateral tibial plateau by 3-dimensional CT and the parameters of each region were crucial for providing guidance for designing the anatomical plate for the trans-fibular-head approach.https://doi.org/10.1186/s12891-024-07311-6ImagingKnee jointOutcomesPosterolateral fractureTrans-fibular-head approachTibial plateau fractures involving posterolateral quadrant |
| spellingShingle | Xiaoji Zhou Jiangshan Zhou Huajun Qian Chunxiao Qian Bin Xu Lv Pan Xudong Chu An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach BMC Musculoskeletal Disorders Imaging Knee joint Outcomes Posterolateral fracture Trans-fibular-head approach Tibial plateau fractures involving posterolateral quadrant |
| title | An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach |
| title_full | An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach |
| title_fullStr | An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach |
| title_full_unstemmed | An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach |
| title_short | An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach |
| title_sort | imageology based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans fibular head approach |
| topic | Imaging Knee joint Outcomes Posterolateral fracture Trans-fibular-head approach Tibial plateau fractures involving posterolateral quadrant |
| url | https://doi.org/10.1186/s12891-024-07311-6 |
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