Radiological measurement of Schatzker type II Tibial Plateau Fracture by Proximal Tibial Metaphyseal Plate
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Abstract
Background: The tibial plateau fracture rates among the top 10 intra-articular fractures in terms of frequency. Due to the extreme displacement of the bony fragments, the accompanying depression and impaction of the cancellous subchondral bone, and the unavoidable cartilage injury, the fracture patterns are extremely complex and difficult to manage.
Objective: The study amid to figure out the distribution of Radiological measurement of Schatzker type II Tibial Plateau Fracture by Proximal Tibial Metaphyseal.
Methodology: This was a prospective observational study, carried out at NITOR, Dhaka, Bangladesh from July 2019 to June 2021. Purposive sampling technique was used.
Results: The mean duration of radiological union was 13.3±1.6 weeks. The mean angular depression was 0.68±1.1 mm, condylar widening was 0.26± 0.68 mm, and the angulation was 0.480 ±1.50 mm.
64.5% cases were excellent and 35.5% were good at the most recent follow-up. Normal coronal alignments were observed in 87.1% instances upon final follow-up.
Conclusion: Schatzker type II tibial plateau fracture by proximal tibial metaphyseal plate gives excellent to good functional outcome with minimal complications, so this is an effective and safe method.
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References
I. F Biggi SDFDT. Tibial plateau fractures: internal fixation with locking plates and the MIPO technique. Injury. 2010;41(11):1178–82.
II. Kfuri M, Schatzker J. Revisiting the Schatzker classification of tibial plateau fractures. Injury [Internet]. 2018;49(12):2252–63. Available from: https://www.sciencedirect.com/science/article/pii/S0020138318306582
III. Hall J, Beuerlein M, McKee M. Open Reduction and Internal Fixation Compared with Circular Fixator Application for Bicondylar Tibial Plateau Fractures: Surgical Technique. J Bone Joint Surg Am. 2009 Apr 1;91 Suppl 2 Pt 1:74–88.
IV. Prall WC RMFJHFMHBWKT. Schatzker II tibial plateau fractures Anatomically precontoured locking compression plates seem to improve radiological and clinical outcomes. Injury. 2020;51(10):2295–301.
V. Belanger M, Fadale P. Compartment syndrome of the leg after arthroscopic examination of a tibial plateau fracture. Case report and review of the literature. Arthroscopy. 1997 Nov 1;13:646–51.
VI. Russell N, Tamblyn P, Jaarsma R. Tibial plateau fractures treated with plate fixation: To lock or not to lock. European Journal of Orthopaedic Surgery & Traumatology. 2008 Feb 1;19:75–82.
VII. Musahl V, Tarkin I, Kobbe P, Tzioupis C, Siska PA, Pape H. New trends and techniques in open reduction and internal fixation of fractures of the tibial plateau. J Bone Joint Surg Br. 2009 May 1;91:426–33.
VIII. Ebraheim NA, Haman SP, Sabry FF. Open reduction and internal fixation of 117 tibial plateau fractures. Orthopaedics. 2004;27(2):1281–7.
IX. Dirschl D, del Gaizo D. Staged management of tibial plateau fractures. Am J Orthop (Belle Mead NJ). 2007 May 1;36:12–7.
X. Vendeuvre T, Grunberg M, Germaneau A, Maloubier F, Faure JP, Gayet LE, et al. Contribution of minimally invasive bone augmentation to primary stabilization of the osteosynthesis of Schatzker type II tibial plateau fractures: Balloon vs bone tamp. Clinical Biomechanics. 2018 Aug 1;59.
XI. Shimizu T, Sawaguchi T, Sakagoshi D, Goshima K, Shigemoto K, Hatsuchi Y. Geriatric tibial plateau fractures: Clinical features and surgical outcomes. Journal of Orthopaedic Science. 2015 Dec 1;21.
XII. van Damme G, Victor J. The painful total knee arthroplasty. In: Bonnin M, Amendola A, Bellemans J, MacDonald S, Ménétrey J, editors. The Knee Joint: Surgical Techniques and Strategies [Internet]. Paris: Springer Paris; 2012. p. 969–81. Available from: https://doi.org/10.1007/978-2-287-99353-4_92
XIII. Kripalani S, Gurucharan S, Kulkarni SG, Vakil SS, Bhosale J, Shelke US. Stability of Raft construct through Locking Compression Plate for depressed Tibial Plateau Fractures. In 2019.
XIV. Kayali C, Citak C, Altay T, Kement Z. Subchondral raft construction with locking plates for the treatment of Schatzker type II fractures. Acta Ortop Bras. 2017 May 1;25:99–102.
XV. Michelle Abghari AM, RD, SRK, KAE. Are Locked Plates Needed for Split Depression Tibial Plateau Fractures? J Knee Surg. 2015;29(6):482–6.