Yes, its surgery time again.
Thiruvengita Prasad, Plot No. This article has been cited by other articles in PMC. Dual plate fixation in comminuted bicondylar tibial plateau fractures remains controversial.
Open reduction and internal fixation, specifically through compromised soft tissues, has historically been associated with major wound complications. Alternate methods of treatment have been described, each with its own merits and demerits.
We performed a retrospective study to evaluate the functional outcome of lateral and medial plate fixation of Schatzker type V and VI fractures through an anterolateral approach, and a medial minimally invasive approach or a posteromedial approach. We treated 46 tibial plateau fractures Schatzker type V and VI with lateral and medial plates through an anterolateral approach and a medial minimal invasive approach over an 8 years period.
Tibial plateau fracture thesis patients were lost to followup. Radiographs in two planes were taken in all cases. Immediate postoperative radiographs were assessed for quality of reduction and fixation.
The functional outcome was evaluated according to the Oxford Knee Score criteria on followup. Forty patients 33 men and 7 women who completed the followup were included in the study.
The mean duration of followup was 4 years range years. All patients had a good coronal and sagittal plane alignment, and articular width as assessed on supine X-rays of the knee in the anteroposterior AP and lateral views.
The functional Tibial plateau fracture thesis, as assessed by the Oxford Knee Score, was excellent in 30 patients and good in 10 patients. All patients returned to their pre-injury level of activity and employment.
There were no instances of deep infection. Dual plate fixation of severe bicondylar tibial plateau fractures is an excellent treatment option as it provides rigid fixation and allows early knee mobilization. Careful soft tissue handling and employing minimal invasive techniques minimizes soft tissue complications.
Open reduction and rigid internal fixation achieves the goals of anatomic articular congruity and mechanical alignment restoration, while allowing early knee mobilization.
Patients whose fractures had been fixed with a single plate or screws were excluded from the study. Forty six patients who presented with Schatzker types V and VI tibial plateau fractures between January to December and who had been treated with dual plates were included in the study.
Their inpatient records were traced from the medical records department. The patients were called for followup. The preoperative data including demographic data, mode of injury, and fracture classification were collected. Radiographic findings including the fracture pattern, displacement of fragments, and depression of fragments were also noted.
Computed tomography CT scan findings, intraoperative findings, and data regarding the course in the hospital were collected from the inpatient records.
After discharge from the hospital, the patients had been followed up in the outpatient clinic at monthly intervals till fracture union and maximal functional recovery. The followup data were collected from the outpatient records which were retained by the patients and they had brought with them during followup.
Data regarding the age and gender of the patients, mechanism of injury, side, any concomitant injuries and comorbid conditions were collected. The neurovascular status of the fractured leg, presence of compartment syndrome, and the presence of any fracture blisters or open wounds were also noted.
In two patients with popliteal artery injury, vascular surgeon's opinion had been sought and Doppler study had been performed. They were taken up for emergency vascular reconstruction by the vascular surgeon, followed by primary internal fixation.
The radiographs and CT scan with 3D reconstruction pictures 15 were reviewed to note the type of the fracture, the location and extent of articular depression, and fracture extension into the diaphysis, if any.
The fractures were graded preoperatively using the Schatzker's classification of tibial plateau fractures. The limb was elevated and calcaneal pin traction was applied with kg of weight. Once the soft tissues recovered, as evidenced by resolution of the edema and the fracture blisters and appearance of skin wrinkles, the patient was taken up for surgery.
The operation notes were reviewed to note the time since injury to the surgery, the duration of the surgery, the type of anesthesia, and the extent of blood loss. Details of the operative technique such as the position of the patient, surgical incisions employed, reduction techniques, use of bone grafts, implants used for fixation, and techniques for assessment of reduction were also recorded.
Antibiotic prophylaxis intravenous Cefazolin 2 g was administered at the time of induction of anesthesia in the patients with closed fractures and it was continued for 24 h. In one patient with grade IIIc Gustilo—Anderson open fracture, 2 g of Cefazolin and an aminoglycoside were administered in the emergency room.The tibial plateau fracture.
The Toronto experience Clin Orthop Relat Res 8. Sirkin MS, Bono CM, Reilly MC, Behrens FF. Percutaneous methods of tibial plateau fixation. Clin Orthop Relat Res Journal of Medical thesis will also be starting symposiums on thesis writing for different faculties which will be.
Posteromedial Tibia Fracture Fixation – Dr S S DumbrePatil Posteromedial Tibial Plateau fractures - Fixation with Antiglide Plate Posteromedial approach. The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring fixator, both during treatment and at 19 months following injury.
management of tibial plateau fractures tibial plateau fractures a thesis for tranceformingnlp.com (orthopaedics) by rajesh j.
sawarbandhe university of seychelles & american institute of medicine (usaim) acknowledgement tibial plateau fracture is one of them. I recently had ACL surgery, and thought I would share how my recovery progressed, and some tips I learned along the way.
Now, for those that don’t know what takes place during ACL (Anterior Cruciate Ligament) reconstruction, the surgery is . The major aim of this thesis was retrospectively to study imaging of knee injury with a special focus on tibial plateau fractures in patients referred to a level-one trauma center.