The less invasive stabilization system in the treatment of complex fractures of the tibial plateau: short-term results.

摘要: Objectives To report on the use of a new plating system in treatment high-energy tibial plateau fractures using minimally invasive stabilization techniques. Design Prospective, consecutive patient series. Setting University Level I trauma center. Patients Thirty-seven patients with 39 were treated specialty plates. All OTA class 41C. Ten open, including eight Gustilo and Anderson Type IIIA two IIIB. Thirty-three 34 had follow-up at least 12 months. Intervention Internal fixation Less Invasive Stabilization System (LISS, Synthes USA, Paoli, PA) MAIN OUTCOME MANAGEMENT: determine clinical outcome, time to union, fracture alignment, articular step-off, incidence complications, Short Form-36 outcome scores, Lysholm knee scores associated ligament injuries. Results healed without additional surgical intervention or bone grafting. The mean our series was 21 months, range 38 Twenty-nine 30 greater than 1 year. average radiographic callus 6.1 weeks, complete union 15.6 weeks. step-off 0.8 mm, 0 5 mm. postoperative alignment demonstrated malalignment degrees procurvatum 4 valgus. There superficial wound infections no cases deep infection osteomyelitis. Conclusions LISS plates appears stabilize complex low complications. functioned well maintaining obtaining these fractures.