Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement.
Introduction Fractures in both tibial plateaus occur following high-energy traumatisms. Sometimes, fracture can compromise the tibial tubercle. Neither the Schatzker nor the AO/OTA classifications take this fragment into account. The aim of this study was to describe incidence and surgical manageme...
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| Format: | Article |
| Language: | English |
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Asociación Argentina de Ortopedia y Traumatología
2018-11-01
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| Series: | Revista de la Asociación Argentina de Ortopedia y Traumatología |
| Subjects: | |
| Online Access: | https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/831 |
| _version_ | 1797428900451581952 |
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| author | Sebastián Pereira Gabriel Vindver Fernando Bidolegui |
| author_facet | Sebastián Pereira Gabriel Vindver Fernando Bidolegui |
| author_sort | Sebastián Pereira |
| collection | DOAJ |
| description | Introduction
Fractures in both tibial plateaus occur following high-energy traumatisms. Sometimes, fracture can compromise the tibial tubercle. Neither the Schatzker nor the AO/OTA classifications take this fragment into account. The aim of this study was to describe incidence and surgical management in these types of fractures.
Materials and Methods
We carried out a retrospective study between 2009 and 2017 which included 48 fractures in both tibial plateaus treated with reduction and osteosynthesis; 10 of them showed a fragment of the tibial tubercle associated. Seven patients were males, whereas 3 of them were females. Patients averaged 33.5 years old. Nine of them received initial stabilization by external fixator. The fragment of the tibial tubercle was fixed using 2 3.5-mm screws (9 cases) and 1/3 tubular plate (one case). One patient had suffered an open fracture. Minimal follow-up was 12 months.
Results
We got bone healing in all the cases. There were no infections. Knee ROM was 10º-extension (0º-20º) and 120ºflexion (90º-140º). In one case it was necessary to remove the osteosynthesis material. One patient required arthroscopy to treat a meniscal injury.
Conclusions
In our series, 20.8% of all fractures in both tibial plateaus showed one fragment from the tibial tubercle. The fixation of this fragment with 3.5-mm screws or a 1/3 tubular plate is an effective technique to get adequate stabilization for the fragment. |
| first_indexed | 2024-03-09T09:04:32Z |
| format | Article |
| id | doaj.art-d2723c96d22347e9bdd27bae2253d744 |
| institution | Directory Open Access Journal |
| issn | 1515-1786 1852-7434 |
| language | English |
| last_indexed | 2024-03-09T09:04:32Z |
| publishDate | 2018-11-01 |
| publisher | Asociación Argentina de Ortopedia y Traumatología |
| record_format | Article |
| series | Revista de la Asociación Argentina de Ortopedia y Traumatología |
| spelling | doaj.art-d2723c96d22347e9bdd27bae2253d7442023-12-02T10:42:47ZengAsociación Argentina de Ortopedia y TraumatologíaRevista de la Asociación Argentina de Ortopedia y Traumatología1515-17861852-74342018-11-0183426827310.15417/issn.1852-7434.2018.83.4.831387Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement.Sebastián Pereira0Gabriel Vindver1Fernando Bidolegui2Hospital Sirio-Libanes, ECICAROHospital Sirio-Libanes, ECICAROHospital Sirio-Libanes, ECICAROIntroduction Fractures in both tibial plateaus occur following high-energy traumatisms. Sometimes, fracture can compromise the tibial tubercle. Neither the Schatzker nor the AO/OTA classifications take this fragment into account. The aim of this study was to describe incidence and surgical management in these types of fractures. Materials and Methods We carried out a retrospective study between 2009 and 2017 which included 48 fractures in both tibial plateaus treated with reduction and osteosynthesis; 10 of them showed a fragment of the tibial tubercle associated. Seven patients were males, whereas 3 of them were females. Patients averaged 33.5 years old. Nine of them received initial stabilization by external fixator. The fragment of the tibial tubercle was fixed using 2 3.5-mm screws (9 cases) and 1/3 tubular plate (one case). One patient had suffered an open fracture. Minimal follow-up was 12 months. Results We got bone healing in all the cases. There were no infections. Knee ROM was 10º-extension (0º-20º) and 120ºflexion (90º-140º). In one case it was necessary to remove the osteosynthesis material. One patient required arthroscopy to treat a meniscal injury. Conclusions In our series, 20.8% of all fractures in both tibial plateaus showed one fragment from the tibial tubercle. The fixation of this fragment with 3.5-mm screws or a 1/3 tubular plate is an effective technique to get adequate stabilization for the fragment.https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/831Fractura de platillo tibialtuberosidad anteriorfractura compleja de tibia proximal. |
| spellingShingle | Sebastián Pereira Gabriel Vindver Fernando Bidolegui Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement. Revista de la Asociación Argentina de Ortopedia y Traumatología Fractura de platillo tibial tuberosidad anterior fractura compleja de tibia proximal. |
| title | Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement. |
| title_full | Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement. |
| title_fullStr | Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement. |
| title_full_unstemmed | Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement. |
| title_short | Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement. |
| title_sort | treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement |
| topic | Fractura de platillo tibial tuberosidad anterior fractura compleja de tibia proximal. |
| url | https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/831 |
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