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Dual split and dislocation——a variant of Schatzker type-I tibial plateau fracture: A case report

Chinese Journal of Traumatology 2022年第1期25卷 59-62页

作者： Devendra Kumar Chouhan Aman Hooda Department of Orthopaedics Postgraduate Institute of Medical Education and ResearchChandigarhIndia

Schatzkter type-I tibial plateau fracture is a split fracture of the lateral tibial plateau in sagittal plane,consequent to valgus impaction caused by low velocity of ***,a deep understanding of the different columns of the tibial plateau and patho-mechanisms of the injury led to the unmasking of atypical fractures around the tibial *** have encountered 2 cases with unusual fracture pattern of the lateral tibial condyle caused by road traffic *** fracture pattern and severity of injury deviate from the original description of Schatzker type 1;in view of dual plane split,there is rotation of the posterolateral column fragment along its sagittal plane plus grade-III medial collateral ligament *** patients were initially treated with knee spanning external fixator and after a latency of 5 days,definitive fracture specific fixation was done,combined with repair of grade-III medial collateral ligament *** the 6 months follow-up both the patients achieved satisfactory knee functions(knee society score case 1:100 and case 2:92)and returned to their *** severity of fracture pattern and displacement as described should prompt for examination of associated ligament *** of timely diagnosis,early and appropriate care promised an excellent function outcome even in such a severe nature of knee *** prompt the description of injury pattern we coined the name"dual split and dislocation"of lateral tibial plateau,as a complex injury variant of split fracture of lateral tibial plateau fracture.

关键词： tibial plateau fracture Schtazker classification Posterolateral Soft tissue injury

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Locking compression plate+T-type steel plate for postoperative weight bearing and functional recovery in complex tibial plateau fractures

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World Journal of Clinical Cases 2022年第2期10卷 502-510页

作者： Hai-Feng Li Tao Yu Xing-Fei Zhu Hua Wang Ying-Qi Zhang Department of Orthopaedic Surgery Tongji HospitalSchool of MedicineTongji UniversityShanghai 200065China Department of Orthopaedic Surgery Zhabei Central HospitalShanghaiShanghai 200070China

Complex tibial plateau fractures can seriously affect quality of life and physical and mental health of *** anatomical relationship between the proximal tibial bone and soft tissue is complex,resulting in different types of tibial plateau *** trauma can lead to displaced fracture,serious soft tissue injury,and potentially,dislocation of the knee ***,tibial plateau fractures are extremely *** To assess the use of locking compression plate(LCP)+T-type steel plate for postoperative weight bearing and functional recovery of complex tibial plateau *** Ninety-seven patients with complex tibial plateau fractures who underwent surgery at our hospital were selected for retrospective ***-nine patients had been treated with LCP+T-type steel plate limited internal fixation(study group),and 48 patients with bilateral ordinary steel plate support(control group).The operation process index,postoperative rehabilitation related index,Rasmussen score of the knee joint,tibial plateau varus angle(TPA),tibial plateau retroversion angle(PA),and surgical complications of the two groups were *** The operation time and intraoperative bone graft volume in the study group were lower than those in the control group(Pfracture healing time between the groups(P>0.05).There was no significant difference in the TPA and PA angle between the groups immediately and 18 mo after surgery(P>0.05).At 12 mo after surgery,the Rasmussen scale score was higher in the study group than in the control group(P0.05).The postoperative complication rate in the study group(3.77%)was lower than that in the control group(15.

关键词： Locking compression plate T-type steel plate Complexity tibial plateau fracture Functional recovery Complications

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PERCUTANEOUS REDUCTION AND STABILIZATION OF COMPLEX tibial plateau fractureS

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Chinese Medical Sciences Journal 1997年第3期12卷 184-188页

作者：刘国平杜靖远 DepartmentofOrthopedics UnionHospitalTongjiMedicalUniversityWuhan430022

Mechanical traction and percutaneous reduction by leverage and fixation by a bilateral groove externalfixator were performed on 23 patients with complex tibial plateau fractures involving a depressed and splitfragments. The fixator is composed of two long groove frames, three to five nuts, hooked bolts and Stein-manns *** fractures united in good position in three months with no incision (only pinpricks), llttle operativetrauma and no significant complications but pintract infection, and the flexion-extension range of kneemovement was excllent in all patients, so that this technique is particularly advisable for complex tibialplateau fractures.

关键词： tibial plateau fracture external fixation

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Arthroscopically assisted treatment for Schatzker type Ⅰ-Ⅴ tibial plateau fractures

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Chinese Journal of Traumatology 2008年第5期11卷 288-292页

作者：段小军杨柳郭林陈光兴戴刚 Center for Joint Surgery Southwest Hospital ThirdMilitary Medical University Chongqing 400038 China

Objective： To report the clinical outcome of arthroscopically assisted treatment for tibial plateau fractures. Methods： A total of 39 patients with tibial plateau fractures were treated by arthroscopic fixation from February 2002 to December 2005, including 11 patients with bony avulsion of the anterior cruciate ligament and 19 with meniscal injury. There were 4 cases of type Ⅰ fracture, 12 type Ⅱ, 9 type Ⅲ, 12 type Ⅳ and 2 type Ⅴ according to Schatzker criteria. Firstly, the combined injuries were treated. Then the plateau fractures with the displacement over 3 mm or more were reduced and fixed. Finally, the internal fixation was observed by X-ray equipment. Postoperative management was early motion and delayed weight bearing. Results： All the fractures healed in 3 or 4 months. All patients were followed up for 1 to 5 years after *** case had severe complications, such as poor wound healing, infection, osteofascial compartment syndrome and osteoarthfitis. According to the Rasmussen scoring system, 36 cases obtained excellent or good results and the other 3 cases had moderate clinical results. The average score was 26 ± 3. Conclusions： As an adjuvant treatment of intraarticular fractures such as tibial plateau fracture, arthroscopy has many advantages. It can treat associated intraarticular soft tissue components, visualize the chondral surface reduction, lavage the hematoma and smaller loose fragments, decrease soft tissue dissection, reduce the risk of scarring and promote rapid recovery.

关键词： tibial plateau fracture Arthroscopy Treatment Surgical technique

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Extended anterolateral approach combined with proximal locking compression plate for posterolateral tibial plateau fractures

Extended anterolateral approach combined with proximal locki...

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2014年浙江省骨科学学术年会

作者： Hong-Wei Chen Department of Orthopedic Surgery Yiwu Central HospitalAffiliated Hospital of Wenzhou Medical University

Background:The best approach for posterolateral tibial plateau fractures is still *** study aims to study the clinical results of an extended anterolateral approach combined with a proximal tibial locking compression plate on this kind of *** and methods:From Jan.1,2010 to Jul.30,2011,10 cases of posterolateral tibial plateau fractures were treated by an extended anterolateral approach with proximal tibial locking compression plates,including 6 males and 4 *** data,operation details and clinical outcomes over a mean 26.4 months of follow-up were prospectively collected and ***:Mean ± SD surgical duration was(91.5 ± 17.4) min(range 80-130 min),and Mean ± SD intraoperative blood loss was(211.2 ± 114.3) ml(range 100-400 ml).A 90%(9/10) anatomic reduction rate was observed in these patients,except that one patient with lateral comminuted fracture and dislocation still remained postoperative 2-mm joint surface *** skin necrosis,infection,peroneal nerve injury,osteomyelitis or other complications were *** fracture healing time was(10.6 ± 1.8) weeks(ranged,8-14 weeks),with HSS score for(95.3 ± 6.5) points(range 80-100 points),knee flexion for(119.8 ± 17.2) °(range 95-140 °),and knee extension for(2.1 ± 2.1) °(range 0-6°).Conclusions:The extended anterolateral approach combined with a proximal tibial compression plate offers a direct and complete surgical exposure and is easy for surgical manipulation for the posterolateral tibia plateau *** is safe,convenient and clinically valuable.

关键词： tibial plateau fracture Approach tibial proximal locking plate Internal fixation

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Comparison between computed tomography and magnetic resonance imaging in clinical diagnosis and treatment of tibial platform fractures

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World Journal of Clinical Cases 2020年第18期8卷 4067-4074页

作者： Xin-Ding Liu Hai-Bo Wang Tie-Cheng Zhang Yong Wan Chu-Zhen Zhang Department of CT The Second Affiliated Hospital of Harbin Medical UniversityHarbin 150086Heilongjiang ProvinceChina

BACKGROUND tibial plateau fracture is one of the common fracture *** occurs mainly in teenagers and is usually caused by a *** the occurrence of fracture,knee swelling,pain,limited activity,*** affect the patient’s exercise habits and lifestyle.X-ray,computed tomography(CT)and magnetic resonance imaging(MRI)were used in this examination.X-rays are relatively new and easy to ***,there are some errors in the observation of fracture collapse and fracture *** recent years,CT and MRI have been actively used to diagnose various types of clinical *** have more diagnostic power than X-ray ***,some scholars believe that CT is also prone to errors in clinical *** volume effect leads to missed diagnosis and misdiagnosis in some cases,while the multidirection scanning of MRI technology can effectively overcome the shortcomings of *** facilitate the selection of clinical examination regimens,this study further observed the diagnostic ability of these two regimens in the diagnosis of tibial plateau *** To explore the value of nuclear MRI and CT in the clinical diagnosis of tibial plateau *** A total of 120 patients with tibial plateau fractures admitted from September 2017 to August 2019 were *** patients were examined by nuclear MRI and CT *** results were sent to senior physicians in our hospital to complete the *** Nuclear magnetic resonance showed the same effects as CT in four aspects:fracture displacement,bone defect,fracture site and fracture *** was no significant difference in the score data(P>0.05).Nuclear magnetic resonance and CT tended to be consistent in the B3,C2 and C3 fracture diagnosis coincidence rate,combined injury detection rate and fracture detection *** diagnostic coincidence rate of type B1,B2 and C1 fractures and the accuracy rate of overall fracture classification indicated that the MRI technique was si

关键词： Nuclear magnetic resonance technology tibial plateau fracture Diagnostic compliance Comparative study fracture classification Diagnostic compliance

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