Impaction bone grafting has potential as an adjunct to the surgical stabilisation of osteoporotic tibial plateau fractures: Early results of a case series

Injury
Gerrit J van de PolLucian B Solomon

Abstract

Osteoporotic tibial plateau fractures (TPFs) are difficult to treat with either open reduction internal fixation (ORIF) or acute total knee arthroplasty (TKA). They have high complication rates, poor outcomes and often fail in the short- to mid-term. We investigated the use of impaction bone grafting (IBG) as an adjunct to stabilise the fracture in a cohort of osteoporotic TPFs. Nine consecutive osteoporotic TPFs were surgically stabilised with ORIF augmented with IBG or with IBG alone (one pure depression fracture) using on average allograft from 2 femoral heads/case (range 1-4 heads or 25-100 cm(3)). The median bone mineral density T-score of the patients was -2.9 (-2.5 to -4.5). All patients were mobilised weight-bearing as tolerated immediately after surgery and had regular follow-up to a minimum of 2 years where functional scores were taken and gait was assessed. Fracture reduction was assessed on plain radiographs and computed tomography (CT) scans; maintenance of fracture reduction was monitored using plain radiographs, CT and radiostereometric analysis (RSA). Bone graft remodelling was assessed by comparison of immediate post-operative CT scans with scans at a minimum of 1 year. All surgeries were uneventful. All patien...Continue Reading

References

Aug 1, 1990·IEEE Transactions on Bio-medical Engineering·S L DelpJ M Rosen
Aug 1, 1995·Acta Orthopaedica Scandinavica·M C de Waal MalefijtT J Slooff
Aug 12, 1998·The Journal of Orthopaedic and Sports Physical Therapy·E M RoosB D Beynnon
Dec 30, 1999·The Journal of Arthroplasty·J H LonnerJ M Siliski
Sep 23, 2000·Journal of Orthopaedic Trauma·J MartinT A DeCoster
Oct 12, 2000·Acta Orthopaedica Scandinavica·L RydH Löfgren
Feb 13, 2001·Journal of Biomechanics·F C Anderson, M G Pandy
Feb 16, 2002·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J A KanisB Jonsson
Apr 25, 2002·Journal of Orthopaedic Trauma·Ahmad M AliK M Willett
Aug 25, 2005·Injury·Panayiotis J PapagelopoulosPanayotis N Soucacos
Oct 1, 2005·Acta Orthopaedica·Edward R ValstarJohan Kärrholm
Oct 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Thomas A RussellUNKNOWN Alpha-BSM Tibial Plateau Fracture Study Group
Nov 4, 2008·Journal of Orthopaedic Trauma·Stefan EggliChristoph Röder
Apr 2, 2009·The Journal of Bone and Joint Surgery. British Volume·V MusahlH-C Pape
Aug 28, 2009·La Chirurgia degli organi di movimento·R CivininiM Innocenti
Apr 14, 2010·The Journal of Trauma·Stephen W VeitchAndrew D Toms
May 15, 2010·Acta Orthopaedica·Lucian B SolomonMellick J Chehade
Jun 15, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Jennifer E Stevens-LapsleyMichael R Dayton
Aug 31, 2011·Journal of Osteoporosis·Roy Yuen-Chi Lau, Xia Guo
Jan 17, 2014·The Journal of Bone and Joint Surgery. American Volume·David WassersteinRichard Jenkinson

❮ Previous
Next ❯

Citations

Jun 25, 2016·Injury·Lukas KonstantinidisPeter Augat
Nov 16, 2018·Journal of Orthopaedic Surgery·Peter F HorstmannMichael M Petersen
Feb 27, 2019·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Lorcan McGonagleLucian B Solomon
Feb 15, 2017·BioMed Research International·A Ortega-BrionesM Rickman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.