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Bicondylar tibial plateau fractures involving the posteromedial fragment : morphology based fixation / Barakat El-Alfy in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Bicondylar tibial plateau fractures involving the posteromedial fragment : morphology based fixation Type de document : texte imprimé Auteurs : Barakat El-Alfy ; Ayman M. Ali ; Abdelrahman El-Ganiney Année de publication : 2016 Article en page(s) : p. 298-204 Langues : Anglais (eng) Mots-clés : fracture plateau tibial chirurgie Résumé : The aim of this study is to describe the morphology of the posteromedial fragment in the setting of bicondylar tibial plateau fractures and to use it as a base for selection of the method of fixation. Twenty two patients with bicondylar tibial plateau fractures involving the posteromedial fragment were included in this study. Plain X- ray and computed tomogram (CT) were performed in all patients. Thirteen patients were treated by dual plating while nine were treated by single lateral plate. The mean posteromedial fragment height was 39 mm. The cephalad surface area percentage of the posteromedial fragment relative to the entire tibial plateau ranged from 10% to 43%. with an average of 28%. The average knee motion at the final follow up was 110°. Two cases were complicated by implant failure. Morphological study of the posteromedial fragment could help in selection of the proper method of fixation. Permalink : ./index.php?lvl=notice_display&id=46097
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 298-204[article] Bicondylar tibial plateau fractures involving the posteromedial fragment : morphology based fixation [texte imprimé] / Barakat El-Alfy ; Ayman M. Ali ; Abdelrahman El-Ganiney . - 2016 . - p. 298-204.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 298-204
Mots-clés : fracture plateau tibial chirurgie Résumé : The aim of this study is to describe the morphology of the posteromedial fragment in the setting of bicondylar tibial plateau fractures and to use it as a base for selection of the method of fixation. Twenty two patients with bicondylar tibial plateau fractures involving the posteromedial fragment were included in this study. Plain X- ray and computed tomogram (CT) were performed in all patients. Thirteen patients were treated by dual plating while nine were treated by single lateral plate. The mean posteromedial fragment height was 39 mm. The cephalad surface area percentage of the posteromedial fragment relative to the entire tibial plateau ranged from 10% to 43%. with an average of 28%. The average knee motion at the final follow up was 110°. Two cases were complicated by implant failure. Morphological study of the posteromedial fragment could help in selection of the proper method of fixation. Permalink : ./index.php?lvl=notice_display&id=46097 Exemplaires (1)
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Exclu du prêtA posteromedial approach for open reduction and internal fixation of posteromedial tibial plateau fracture / Hong-wei Chen in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : A posteromedial approach for open reduction and internal fixation of posteromedial tibial plateau fracture Type de document : texte imprimé Auteurs : Hong-wei Chen ; Jun Pan ; Xian-hong Yi ; [et al...] Année de publication : 2016 Article en page(s) : p. 258-264 Langues : Anglais (eng) Mots-clés : plateau tibial fracture chirurgie Résumé : The aim of this study was to evaluate the clinical outcomes of patients with posteromedial tibial plateau fractures treated by open reduction and internal fixation (ORIF) through a posteromedial approach. Thirty-six patients with posteromedial tibial plateau fracture underwent ORIF through a posteromedial approach and were retrospectively analyzed. Preoperative X-ray pictures and CT images were obtained. And there were 11 cases of posteromedial tibial plateau fracture and 25 cases of posteromedial and posterolateral tibial plateau fracture. All the patients were treated surgically with posteromedial approach. The clinical outcomes were assessed according to the Rasmussen knee function grading system. The patients were followed-up for an average of 17.5 months (range, 12-32 months). All the fractures attained satisfactory reduction. No major complications were observed. According to the Rasmussen knee function grading system, the results were graded as excellent in 21 cases, good in 13 cases, fair in 2 cases. The rate of excellent and good results was 94.4%. The posteromedial approach in our opinion is the best option to treat the posteromedial tibial plateau fractures because it can provide direct visualization of the fracture site and avoid dissection of neurovascular bundle in the popliteal fossa area with minimal soft tissue injury. Permalink : ./index.php?lvl=notice_display&id=46091
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 258-264[article] A posteromedial approach for open reduction and internal fixation of posteromedial tibial plateau fracture [texte imprimé] / Hong-wei Chen ; Jun Pan ; Xian-hong Yi ; [et al...] . - 2016 . - p. 258-264.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 258-264
Mots-clés : plateau tibial fracture chirurgie Résumé : The aim of this study was to evaluate the clinical outcomes of patients with posteromedial tibial plateau fractures treated by open reduction and internal fixation (ORIF) through a posteromedial approach. Thirty-six patients with posteromedial tibial plateau fracture underwent ORIF through a posteromedial approach and were retrospectively analyzed. Preoperative X-ray pictures and CT images were obtained. And there were 11 cases of posteromedial tibial plateau fracture and 25 cases of posteromedial and posterolateral tibial plateau fracture. All the patients were treated surgically with posteromedial approach. The clinical outcomes were assessed according to the Rasmussen knee function grading system. The patients were followed-up for an average of 17.5 months (range, 12-32 months). All the fractures attained satisfactory reduction. No major complications were observed. According to the Rasmussen knee function grading system, the results were graded as excellent in 21 cases, good in 13 cases, fair in 2 cases. The rate of excellent and good results was 94.4%. The posteromedial approach in our opinion is the best option to treat the posteromedial tibial plateau fractures because it can provide direct visualization of the fracture site and avoid dissection of neurovascular bundle in the popliteal fossa area with minimal soft tissue injury. Permalink : ./index.php?lvl=notice_display&id=46091 Exemplaires (1)
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Exclu du prêtComparison of interfragmentary compression in conventional and locked plating of proximal unicondylar tibia fractures : A biomechanical cadaver study / Stefan Rahm in Acta Orthopaedica Belgica, Vol.82/3 (Septembre 2016)
[article]
Titre : Comparison of interfragmentary compression in conventional and locked plating of proximal unicondylar tibia fractures : A biomechanical cadaver study Type de document : texte imprimé Auteurs : Stefan Rahm ; Lukas Ebneter ; Birte Schultz ; [et al...] Année de publication : 2016 Article en page(s) : p. 586-592 Langues : Anglais (eng) Mots-clés : plateau tibial fracture Résumé : The extent of interfragmentary compression in intraarticular fractures treated with various fixation methods have not yet been reported. Lateral split fractures were created in six pairs of cadaver tibiae treated using buttress plating with lag screws (group C) or locked buttress plating after clamp compression (group L). Interfragmentary compression and fracture displacement were continuously measured using pressure sensors and a stereoscopic 3-D image correlation system. Significantly larger interfragmentary compression was found initially after clamping the fragment (p < 0.05) in group C (median ± SD ; 45.1 ± 5.0 N/mm2) compared with group L (33.6 ± 3.4 N/mm2), and a statistical trend towards larger compression was also found after cyclic loading (p = 0.05) in group C (45.3 ± 8.6 N/mm2) compared with group L (28.7 ± 5.8 N/mm2). These data indicate that conventional plating with lag screws achieves higher interfragmentary compression in this model compared with external clamp compression and locked plating. Permalink : ./index.php?lvl=notice_display&id=47188
in Acta Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 586-592[article] Comparison of interfragmentary compression in conventional and locked plating of proximal unicondylar tibia fractures : A biomechanical cadaver study [texte imprimé] / Stefan Rahm ; Lukas Ebneter ; Birte Schultz ; [et al...] . - 2016 . - p. 586-592.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 586-592
Mots-clés : plateau tibial fracture Résumé : The extent of interfragmentary compression in intraarticular fractures treated with various fixation methods have not yet been reported. Lateral split fractures were created in six pairs of cadaver tibiae treated using buttress plating with lag screws (group C) or locked buttress plating after clamp compression (group L). Interfragmentary compression and fracture displacement were continuously measured using pressure sensors and a stereoscopic 3-D image correlation system. Significantly larger interfragmentary compression was found initially after clamping the fragment (p < 0.05) in group C (median ± SD ; 45.1 ± 5.0 N/mm2) compared with group L (33.6 ± 3.4 N/mm2), and a statistical trend towards larger compression was also found after cyclic loading (p = 0.05) in group C (45.3 ± 8.6 N/mm2) compared with group L (28.7 ± 5.8 N/mm2). These data indicate that conventional plating with lag screws achieves higher interfragmentary compression in this model compared with external clamp compression and locked plating. Permalink : ./index.php?lvl=notice_display&id=47188 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt