Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/100962 https://doi.org/10.21037/aoj-20-95 |
Resumo: | Background: Tibial plateau fractures can be treated using different surgical approaches and different fixation methods. With multiple surgical options available, optimal treatment is still controversial. With variable results, surgical osteosynthesis remains challenging, being the choice of appropriate fixation method fundamental for a favourable clinical outcome. Our goal is to analyse the surgical outcomes of patients with tibial plateau fractures submitted to osteosynthesis using different surgical approaches. Methods: There were 88 tibial plateau osteosynthesis performed over a 5-year period. Among others, surgical approach, fixation methods and surgical outcomes were analysed. Results: The overall complication rate was 11.4%, with deep infection being the most common. Single surgical approach had a lower complication rate (2.25%) than double approaches (33.3%). The type of plate used was not correlated with postoperative complications. Unsatisfactory surgical reductions were obtained in 15.9%. There was negative significant association between the baseline Schatzker classification and the reduction. The type of plate usage was not associated with unsatisfactory reductions, but locking compression plates (LCPs) were associated with more anatomical reductions comparing to compression plates. Bone graft was used in 51% of patients and there was no correlation with fracture reduction, fracture consolidation or postsurgical complications. Conclusions: The severity of the tibial plateau fracture is associated with the surgical outcomes. If an acceptable reduction can be obtained, single surgical approach and single plate osteosynthesis is a safer option than double surgical approaches with double plating. |
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Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complicationsTibial plateau fracturessingle and double surgical approachesfracture plate fixationfracture fixation outcomesBackground: Tibial plateau fractures can be treated using different surgical approaches and different fixation methods. With multiple surgical options available, optimal treatment is still controversial. With variable results, surgical osteosynthesis remains challenging, being the choice of appropriate fixation method fundamental for a favourable clinical outcome. Our goal is to analyse the surgical outcomes of patients with tibial plateau fractures submitted to osteosynthesis using different surgical approaches. Methods: There were 88 tibial plateau osteosynthesis performed over a 5-year period. Among others, surgical approach, fixation methods and surgical outcomes were analysed. Results: The overall complication rate was 11.4%, with deep infection being the most common. Single surgical approach had a lower complication rate (2.25%) than double approaches (33.3%). The type of plate used was not correlated with postoperative complications. Unsatisfactory surgical reductions were obtained in 15.9%. There was negative significant association between the baseline Schatzker classification and the reduction. The type of plate usage was not associated with unsatisfactory reductions, but locking compression plates (LCPs) were associated with more anatomical reductions comparing to compression plates. Bone graft was used in 51% of patients and there was no correlation with fracture reduction, fracture consolidation or postsurgical complications. Conclusions: The severity of the tibial plateau fracture is associated with the surgical outcomes. If an acceptable reduction can be obtained, single surgical approach and single plate osteosynthesis is a safer option than double surgical approaches with double plating.2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/100962http://hdl.handle.net/10316/100962https://doi.org/10.21037/aoj-20-95eng24156809Mónico, José Lito dos SantosAndrade, RenatoMatos, PedroMónico, LiseteMariano, João CuraEspregueira-Mendes, JoãoFonseca, Fernandoinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-07-23T20:40:11Zoai:estudogeral.uc.pt:10316/100962Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:18:14.314676Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications |
title |
Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications |
spellingShingle |
Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications Mónico, José Lito dos Santos Tibial plateau fractures single and double surgical approaches fracture plate fixation fracture fixation outcomes |
title_short |
Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications |
title_full |
Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications |
title_fullStr |
Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications |
title_full_unstemmed |
Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications |
title_sort |
Tibial plateau fractures osteosynthesis—a case series of 88 patients evaluating surgical approaches, results and complications |
author |
Mónico, José Lito dos Santos |
author_facet |
Mónico, José Lito dos Santos Andrade, Renato Matos, Pedro Mónico, Lisete Mariano, João Cura Espregueira-Mendes, João Fonseca, Fernando |
author_role |
author |
author2 |
Andrade, Renato Matos, Pedro Mónico, Lisete Mariano, João Cura Espregueira-Mendes, João Fonseca, Fernando |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Mónico, José Lito dos Santos Andrade, Renato Matos, Pedro Mónico, Lisete Mariano, João Cura Espregueira-Mendes, João Fonseca, Fernando |
dc.subject.por.fl_str_mv |
Tibial plateau fractures single and double surgical approaches fracture plate fixation fracture fixation outcomes |
topic |
Tibial plateau fractures single and double surgical approaches fracture plate fixation fracture fixation outcomes |
description |
Background: Tibial plateau fractures can be treated using different surgical approaches and different fixation methods. With multiple surgical options available, optimal treatment is still controversial. With variable results, surgical osteosynthesis remains challenging, being the choice of appropriate fixation method fundamental for a favourable clinical outcome. Our goal is to analyse the surgical outcomes of patients with tibial plateau fractures submitted to osteosynthesis using different surgical approaches. Methods: There were 88 tibial plateau osteosynthesis performed over a 5-year period. Among others, surgical approach, fixation methods and surgical outcomes were analysed. Results: The overall complication rate was 11.4%, with deep infection being the most common. Single surgical approach had a lower complication rate (2.25%) than double approaches (33.3%). The type of plate used was not correlated with postoperative complications. Unsatisfactory surgical reductions were obtained in 15.9%. There was negative significant association between the baseline Schatzker classification and the reduction. The type of plate usage was not associated with unsatisfactory reductions, but locking compression plates (LCPs) were associated with more anatomical reductions comparing to compression plates. Bone graft was used in 51% of patients and there was no correlation with fracture reduction, fracture consolidation or postsurgical complications. Conclusions: The severity of the tibial plateau fracture is associated with the surgical outcomes. If an acceptable reduction can be obtained, single surgical approach and single plate osteosynthesis is a safer option than double surgical approaches with double plating. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/100962 http://hdl.handle.net/10316/100962 https://doi.org/10.21037/aoj-20-95 |
url |
http://hdl.handle.net/10316/100962 https://doi.org/10.21037/aoj-20-95 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
24156809 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799134077644701696 |