Multi-plate reconstruction for severe bicondylar tibial plateau fractures of young adults

作者：Zhai, Qilin; Hu, Chengfang; Luo, Congfeng^*

来源：International Orthopaedics, 2014, 38(5): 1031-1035.

DOI：10.1007/s00264-013-2211-z

• Bicondylar tibial plateau fracture
• Fracture morpholog
• Multi-plate reconstruction
• Clinical outcome
• Complications

Purpose This study was to evaluate clinical outcomes and complications following multi-plate reconstruction for treating severe bicondylar tibial plateau fractures of young adults. @@@ Methods Between September 2007 and February 2012, 26 patients with severe bicondylar tibial plateau fractures met inclusion criteria; they were treated using multi-plate technique through combined approaches. Patients received an average follow-up of 40.8 (range, 18-64) months, which included anteroposterior and lateral imaging, postoperative complications, range of motion and stability of the knee. The Rasmussen score was applied for functional and radiological evaluation. @@@ Rusults Three to five plates were used for reconstruction. No intra-operative complications occurred. Postoperative complications included bulge of hardware in four patients and superficial dehiscence in three cases in the anterolateral incision of which one developed to deep infection. There was no neurovascular damage, and no implant breakage or loosening. Hardware was removed partly or totally in 16 cases. The average Rasmussen score at final follow-up was 27.2 (range, 21-30) points for functional evaluation and 16.4 (range, 14-18) for radiology. @@@ Conclusions Multi-plate reconstruction is a valid and safe method for treating severe bicondylar tibial plateau fractures of young adults.

• 出版日期2014-5
• 单位上海交通大学