A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures
Abstract Background Posterolateral tibial plateau fractures have become more common, and their treatment is of great importance to knee function. Additionally, there is no available literature detailing specialized anatomic locking plate for tibial plateau fractures. Therefore, the aim of the study...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12891-018-2216-2 |
| _version_ | 1811198146110291968 |
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| author | Zhen Jian Rongguang Ao Jianhua Zhou Xinhua Jiang Dianying Zhang Baoqing Yu |
| author_facet | Zhen Jian Rongguang Ao Jianhua Zhou Xinhua Jiang Dianying Zhang Baoqing Yu |
| author_sort | Zhen Jian |
| collection | DOAJ |
| description | Abstract Background Posterolateral tibial plateau fractures have become more common, and their treatment is of great importance to knee function. Additionally, there is no available literature detailing specialized anatomic locking plate for tibial plateau fractures. Therefore, the aim of the study was to evaluate the safety and clinical efficacy of an innovative anatomic locking plate for treatment of posterolateral tibial plateau fractures. Methods Between March 2014 and January 2016, 12 patients with posterolateral tibial plateau fracture underwent surgery with the anatomic locking plate for the posterolateral tibial plateau via the posterolateral approach. Relevant operational data for clinical evaluation were collected. Results The mean follow-up time was 26 months, and the mean age was 35 years for 12 patients. The mean interval between the time of injury and the surgery was 6.1 days. Radiological fracture union was evident in all patients at 12 weeks. During surgery, the blood loss ranged from 100 to 300 mL, and the duration ranged from 55 to 90 min. The Tegner–Lysholm functional score ranged from 85 to 97 at the final follow-up. Moreover, the final Rasmussen functional score ranged from 25 to 29, and Rasmussen anatomical score ranged from 13 to 18. Conclusions The newly designed anatomic locking plate for the posterolateral tibial plateau provided adequate fixation along the posterolateral tibial plateau. It proved to be safe and effective in a small-sample-size population (12 patients) during a 12- to 34-month follow-up. |
| first_indexed | 2024-04-12T01:25:52Z |
| format | Article |
| id | doaj.art-ec4f7b4bf4bc47b98e8d2c52d9d5b8a1 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-12T01:25:52Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-ec4f7b4bf4bc47b98e8d2c52d9d5b8a12022-12-22T03:53:40ZengBMCBMC Musculoskeletal Disorders1471-24742018-09-011911610.1186/s12891-018-2216-2A new anatomic locking plate for the treatment of posterolateral tibial plateau fracturesZhen Jian0Rongguang Ao1Jianhua Zhou2Xinhua Jiang3Dianying Zhang4Baoqing Yu5Department of Orthopaedics, Shanghai Pudong Hospital, Shanghai Fudan Univercity Pudong Medical CenterDepartment of Orthopaedics, Shanghai Pudong Hospital, Shanghai Fudan Univercity Pudong Medical CenterDepartment of Orthopaedics, Shanghai Pudong Hospital, Shanghai Fudan Univercity Pudong Medical CenterDepartment of Orthopaedics, Shanghai Pudong Hospital, Shanghai Fudan Univercity Pudong Medical CenterDepartment of Orthopedics, Peking University People’s HospitalDepartment of Orthopaedics, Shanghai Pudong Hospital, Shanghai Fudan Univercity Pudong Medical CenterAbstract Background Posterolateral tibial plateau fractures have become more common, and their treatment is of great importance to knee function. Additionally, there is no available literature detailing specialized anatomic locking plate for tibial plateau fractures. Therefore, the aim of the study was to evaluate the safety and clinical efficacy of an innovative anatomic locking plate for treatment of posterolateral tibial plateau fractures. Methods Between March 2014 and January 2016, 12 patients with posterolateral tibial plateau fracture underwent surgery with the anatomic locking plate for the posterolateral tibial plateau via the posterolateral approach. Relevant operational data for clinical evaluation were collected. Results The mean follow-up time was 26 months, and the mean age was 35 years for 12 patients. The mean interval between the time of injury and the surgery was 6.1 days. Radiological fracture union was evident in all patients at 12 weeks. During surgery, the blood loss ranged from 100 to 300 mL, and the duration ranged from 55 to 90 min. The Tegner–Lysholm functional score ranged from 85 to 97 at the final follow-up. Moreover, the final Rasmussen functional score ranged from 25 to 29, and Rasmussen anatomical score ranged from 13 to 18. Conclusions The newly designed anatomic locking plate for the posterolateral tibial plateau provided adequate fixation along the posterolateral tibial plateau. It proved to be safe and effective in a small-sample-size population (12 patients) during a 12- to 34-month follow-up.http://link.springer.com/article/10.1186/s12891-018-2216-2Posterolateral tibial plateau fracturesAnatomic locking platePosterolateral approach |
| spellingShingle | Zhen Jian Rongguang Ao Jianhua Zhou Xinhua Jiang Dianying Zhang Baoqing Yu A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures BMC Musculoskeletal Disorders Posterolateral tibial plateau fractures Anatomic locking plate Posterolateral approach |
| title | A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures |
| title_full | A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures |
| title_fullStr | A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures |
| title_full_unstemmed | A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures |
| title_short | A new anatomic locking plate for the treatment of posterolateral tibial plateau fractures |
| title_sort | new anatomic locking plate for the treatment of posterolateral tibial plateau fractures |
| topic | Posterolateral tibial plateau fractures Anatomic locking plate Posterolateral approach |
| url | http://link.springer.com/article/10.1186/s12891-018-2216-2 |
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