![]() ![]() Surgical treatment aims to restore the mechanical alignment of the lower limb, anatomic reduction of the articular surface and stable fixation to allow for early range of motion ( 1). Tibial plateau fractures involve the proximal articular surface of the tibia and have a bimodal incidence, with high-energy trauma in younger patients and low-energy falls in elderly osteoporotic patients. Received: 30 June 2020 Accepted: 21 December 2020 Published: 15 July 2021. Keywords: Tibial plateau fractures single and double surgical approaches fracture plate fixation fracture fixation 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. Bone graft was used in 51% of patients and there was no correlation with fracture reduction, fracture consolidation or postsurgical complications.Ĭonclusions: The severity of the tibial plateau fracture is associated with the surgical outcomes. 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. There was negative significant association between the baseline Schatzker classification and the reduction. ![]() Unsatisfactory surgical reductions were obtained in 15.9%. The type of plate used was not correlated with postoperative complications. Single surgical approach had a lower complication rate (2.25%) than double approaches (33.3%). Results: The overall complication rate was 11.4%, with deep infection being the most common. Among others, surgical approach, fixation methods and surgical outcomes were analysed. Methods: There were 88 tibial plateau osteosynthesis performed over a 5-year period. Our goal is to analyse the surgical outcomes of patients with tibial plateau fractures submitted to osteosynthesis using different surgical approaches. With variable results, surgical osteosynthesis remains challenging, being the choice of appropriate fixation method fundamental for a favourable clinical outcome. With multiple surgical options available, optimal treatment is still controversial. José Lito Mónico 1,2^, Renato Andrade 3,4,5, Pedro Matos 1,6, Lisete Mónico 7, João Cura Mariano 1, João Espregueira-Mendes 3,4,8,9,10, Fernando Fonseca 1,6ġ Department of Orthopaedics Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal 2 Centro de Saúde Militar de Coimbra, Portuguese Army, Coimbra, Portugal 3 Clínica do Dragão, Espregueira-Mendes Sports Centre-FIFA Medical Centre of Excellence, Porto, Portugal 4 Dom Henrique Research Centre, Porto, Portugal 5 Faculty of Sports, University of Porto, Porto, Portugal 6 Faculty of Medicine, University of Coimbra, Coimbra, Portugal 7 Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal 8 ICVS/3B’s-PT Government Associate Laboratory, Braga/Guimarães, Portugal 9 3B’s Research Group-Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Barco, Guimarães, Portugal 10 School of Medicine, University of Minho, Braga, PortugalĬontributions: (I) Conception and design: JL Mónico, J Cura Mariano, J Espregueira-Mendes, F Fonseca (II) Administrative support: JL Mónico (III) Provision of study materials or patients: JL Mónico, R Andrade, P Matos, J Cura Mariano, F Fonseca (IV) Collection and assembly of data: JL Mónico, R Andrade, P Matos, L Mónico (V) Data analysis and interpretation: JL Mónico, R Andrade, P Matos, L Mónico (VI) Manuscript writing: All authors (VII) Final approval of manuscript: All authors.īackground: Tibial plateau fractures can be treated using different surgical approaches and different fixation methods. Policy of Dealing with Allegations of Research Misconduct.Policy of Screening for Plagiarism Process. ![]()
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