URGENT OSTEOSYNTHESIS OF TIBIAL CONDYLAR FRACTURES USING PLATES OF DOMESTIC PRODUCTION

Abstract

The technique of tibial condylar fracture osteosynthesis designed in our institute happened to be effective for urgent surgery in 30 consecutive patients with using relatively cheap plates of domestic production. We met no residual deformities, nonunions, marked joint stiffness, deep infection or blood transfusions. Two patients had migrations of pins used for additional fixation of comminuted impression. Pins were removed in outpatient department. Urgent osteosynthesis of tibial condylar fractures made favorable background for surgery and wound healing which allowed to discharge patients from hospital at 5–9-th day. Shortening of hospital stay was quite safe for patient and positively appreciated by insurance companies.

Keywords

density and hardness of cancellous bone / fixation of the impressional fragments / tibial condylar fractures

References

[1] 1. Воронкевич, И.А. Переломы проксимального эпифиза большеберцовой кости и технические возможности современного погружного остеосинтеза / И.А. Воронкевич // Травматология и ортопедия России. – 2004. – № 1. – С. 68 –75.

[2] 2. Воронкевич, И.А. Особенности остеотомий для доступов в суставы / И.А. Воронкевич // Травматология и ортопедия России. – 2006. – № 3. – С. 68 –73.

[3] 3. Воронкевич, И.А. Новые способы костной пластики при остеосинтезе переломов мыщелков большеберцовой кости И.А. Воронкевич // Травматология и ортопедия России. – 2008. – № 4. – С.78 –84.

[4] 4. Кузнецов, И.А. Варианты остеосинтеза компрессионно-оскольчатых переломов мыщелков большеберцовой кости / И.А. Кузнецов Н.Н. Волоховский, М.В. Рябинин // Заболевания и повреждения опорно-двигательного аппарата у взрослых.– СПб., 1997. – С. 24–25.

[5] 5. Шаповалов, В.М. Основы внутреннего остеосинтеза / В.М. Шаповалов [и др.]. – М. : ГЭОТАР-Медиа, 2009. – 240 с.

[6] 6. Barrack, R. Surgical exposure of the stiff knee / R. Barrack // Acta Orthop. Scand. – 2000. – Vol.71, N 1. – P. 85–89.

[7] 7. Barrett, M.O. Repair or reattachment of the meniscus after fixation of tibial plateau fracture / M.O. Barrett [et. al] // Orthopedics. – 1998. – Vol. 21, N 3. – P. 251–257.

[8] 8. Benirschke, S.K. Immediate internal fixation of open, complex tibial plateau fractures: treatment by a standard protocol / S.K. Benirschke [et al.] // J. Orthop. Trauma. – 1992. – Vol. 6, N 1. – P. 78–86.

[9] 9. Beris, A.E. Load tolerance of tibial plateau depressions reinforced with a cluster of K-wires / A.E. Beris [et al.] // Bull. Hosp. Joint Dis. – 1996. – Vol. 55, N 12. – P. 12–15.

[10] 10. Cetik, O. Second-look arthroscopy after arthroscopyassisted treatment of tibial plateau fractures / O. Cetik, H. Cift, M. Asik // Knee Surg. Sports Traumatol. Arthrosc. – 2007. – Vol. 15, N 6. – P. 747–752.

[11] 11. Fernandez, D.L. Anterior approach to the knee with osteotomy of the tibial tubercle for bicondylar tibial fractures / D.L. Fernandez // J. Bone Joint Surg. – 1988. – Vol. 70-A, N 2. – P. 208–219.

[12] 12. McRae, R. Practical fracture treatment / R. McRae, M. Esser. – Edinburg etc : Churchill Livingstone, 2008. – 447 p.

[13] 13. Padanilam, T.G. Meniscal detachment to approach lateral tibial plateau fractures / T.G. Padanilam, N.A. Ebraheim, A. Frogameni // Clin. Orthop. – 1995. – N 314. – P. 192–198.

[14] 14. Schatzker, J. The tibial plateau fracture. The Toronto experience 1968–1975 / J. Schatzker, R. McBroom, D. Bruce // Clin. Orthop. – 1979. – N 138. – P. 94–104.

[15] 15. Wu, C.-C. Plating treatment for tibial plateau fractures: a biomechanical comparison of buttress and tension band positions / C.-C. Wu, C.-L. Tai // Arch. Orthop. Trauma Surg. – 2007. – Vol. 127, N 1. – P. 19–24.