Immediate weight-bearing after osteosynthesis of proximal tibial fractures may be allowed.

作者: Kim Holck , Anders Troelsen , Peter Gebuhr , Henrik Palm , Michael Krasheninnikoff

DOI:

关键词:

摘要: Introduction Immediate weight-bearing following osteosynthesis of proximal tibial fractures is traditionally not allowed due to fear articular fracture collapse. Anatomically shaped locking plates with sub-articular screws could improve stability and allow greater loading forces. The purpose this study was investigate if immediate can be plate fractures. Material methods Locking partial (Arbeitsgemeinschaft fur Osteosynthesefragen type 41B) operated from November 2007 September 2009 at Hvidovre Hospital were included retrospectively (n = 32). Complications, reoperations radiographic outcome 6-8 week follow-up assessed. Twenty patients bear weight the first weeks, whereas twelve postoperative weight-bearing. Results use bone allograft, number inserted application mobilizing brace comparable between two groups (p 0.08). Persisting depressions surface ranged 0 5 mm postoperatively no difference 0.36). At weeks postoperatively, changes in configuration site observed either group. Conclusion This retrospective suggests that may allowed. Future, larger prospective randomised studies are needed. Funding relevant. Trial registration

参考文章(15)
M. Beck, G. Gradl, P. Gierer, R. Rotter, M. Witt, T. Mittlmeier, Versorgung der komplikationsbelasteten proximalen Tibia-Etagenfraktur mit dem winkelstabilen Less-invasive-stabilization-System Unfallchirurg. ,vol. 111, pp. 493- 498 ,(2008) , 10.1007/S00113-008-1427-7
JamesP Stannard, ChristopherG Finkemeier, Jackson Lee, PhilipJ Kregor, Utilization of the less-invasive stabilization system internal fixator for open fractures of the proximal tibia: a multi-center evaluation. Indian Journal of Orthopaedics. ,vol. 42, pp. 426- 430 ,(2008) , 10.4103/0019-5413.43390
William M. Ricci, Jonas R. Rudzki, Joseph Borrelli, Treatment of complex proximal tibia fractures with the less invasive skeletal stabilization system. Journal of Orthopaedic Trauma. ,vol. 18, pp. 521- 527 ,(2004) , 10.1097/00005131-200409000-00007
PAUL F. LACHIEWICZ, THOMAS FUNCIK, Factors influencing the results of open reduction and internal fixation of tibial plateau fractures. Clinical Orthopaedics and Related Research. pp. 210- 215 ,(1990) , 10.1097/00003086-199010000-00030
Phinit Phisitkul, Todd O Mckinley, James V Nepola, John L Marsh, Complications of Locking Plate Fixation in Complex Proximal Tibia Injuries Journal of Orthopaedic Trauma. ,vol. 21, pp. 83- 91 ,(2007) , 10.1097/BOT.0B013E318030DF96
Vassilios S. Nikolaou, Hiang Boon Tan, George Haidukewych, Nikolaos Kanakaris, Peter V. Giannoudis, Proximal tibial fractures: early experience using polyaxial locking-plate technology International Orthopaedics. ,vol. 35, pp. 1215- 1221 ,(2011) , 10.1007/S00264-010-1153-Y
James P. Stannard, Timothy C. Wilson, David A. Volgas, Jorge E. Alonso, The less invasive stabilization system in the treatment of complex fractures of the tibial plateau: short-term results. Journal of Orthopaedic Trauma. ,vol. 18, pp. 552- 558 ,(2004) , 10.1097/00005131-200409000-00012
M V Rademakers, G M M J Kerkhoffs, I N Sierevelt, E L F B Raaymakers, R K Marti, Operative Treatment of 109 Tibial Plateau Fractures : Five-to 27-Year Follow-up Results Journal of Orthopaedic Trauma. ,vol. 21, pp. 5- 10 ,(2007) , 10.1097/BOT.0B013E31802C5B51
Douglas R Dirschl, Patrick A Dawson, Injury severity assessment in tibial plateau fractures. Clinical Orthopaedics and Related Research. ,vol. 423, pp. 85- 92 ,(2004) , 10.1097/01.BLO.0000132626.13539.4B
Jong-Keon Oh, Dipit Sahu, Jin-Ho Hwang, Jae-Woo Cho, Chang-Wug Oh, Technical pitfall while reducing the mismatch between LCP PLT and upper end Tibia in proximal Tibia fractures Archives of Orthopaedic and Trauma Surgery. ,vol. 130, pp. 759- 763 ,(2010) , 10.1007/S00402-009-0949-Y