Clinical outcomes of open reduction and internal fixation for intra-articular complex tibial plateau non-union with 3-year minimum follow-up |
| |
| Authors: | Tomohiro Matsumura Mitsuharu Nakashima Tsuneari Takahashi Katsushi Takeshita |
| |
| Institution: | 1. Department of Orthopaedic Surgery, National Defense Medical College, Saitama, Japan;2. Department of Orthopaedic Surgery, Japan Self-Defense Forces Central Hospital, Tokyo, Japan;3. Department of Rehabilitation Medicine, National Defense Medical College Hospital, Saitama, Japan;4. Department of Orthopaedic Surgery, Minamitama Hospital, Tokyo, Japan;1. Department of Orthopaedic Surgery, Ichinomiya Nishi Hospital, Japan;2. Department of Orthopaedic Surgery, Aichi Medical University, Japan;1. Dept. of Orthop. Surg., Hokkaido Medical Center for Child Health and Rehabilitation, Japan;2. Dept. of Physical Therapy, Hokkaido Medical Center for Child Health and Rehabilitation, Japan;3. Dept. of Prosthetics and Orthotics, Hokkaido University of Science, Japan;4. Dept. of Orthop. Surg., Sapporo Child Development General Support Center, Japan;5. Dept. of Orthop. Surg., Sapporo Medical University, Japan;1. Okan University, Department of Neurosurgery, Istanbul, Turkey;2. Haydarpa?a Numune Research and Training Hospital, Department of Neurosurgery, Istanbul, Turkey;3. Okan University, Department of Radiology, Istanbul, Turkey;4. Neurospinal Academy, Department of Neurosurgery, Istanbul, Turkey;1. Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China;2. The First Clinical College, Zhejiang Chinese Medical University, Hangzhou, 310006, Zhejiang, China;3. Department of Orthopaedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China;4. Basic Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China;5. Department of Orthopaedics, Affiliated Cixi Hospital of Wenzhou Medical University, Cixi, China;6. Department of Orthopaedics & Traumatology, Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, 528401, Guangdong, China;1. Department of Nursing, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, 350005, PR China;2. Department of Orthopedics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, 350005, PR China;3. Department of Nephrology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, 350005, PR China;4. Department of Pharmacy, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, 350005, PR China;5. Fujian Provincial Institute of Orthopedics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, 350005, PR China |
| |
| Abstract: | BackgroundA tibial plateau fracture is one of the most challenging fractures for both knee and trauma surgeons because of the high incidence of post-traumatic knee osteoarthritis. To our knowledge, there has been no study concerning the clinical outcomes after surgery in patients with non-union of complex intra-articular tibial plateau fractures. Thus, the present study aimed to assess and report the clinical outcomes in them.MethodsThe study included four patients with non-union of complex tibial plateau fractures who underwent failed initial fixation treatment or could not undergo initial fixation owing to concomitant injury and who were followed up with a diagnosis of non-union for a minimum of 6 months. At the latest follow-up, patient-reported outcome measures, including the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Oxford 12-item Knee Score (OKS), were assessed. Additionally, the knee range of motion (ROM) was evaluated.ResultsThe mean duration from the initial surgery to revision surgery was 8.8 months, and the mean duration from the revision surgery to fracture union was 4.8 months. At the latest follow-up, the mean WOMAC score was 9.8 and the mean OKS was 43.5. Additionally, the mean knee ROM values were ?11 degrees of extension and 100 degrees of flexion. All four patients had become able to walk without any aid after averaged 4.5-years follow up.ConclusionFavorable clinical outcomes can be achieved following revision surgery involving open reduction and IF in patients with non-union of complex tibial plateau fractures after failed initial treatment.Level of evidenceLevel IV, Case report. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
