Outcome of 3.5-mm Anatomical Locking Plates for the Treatment of Proximal Tibia Fractures Involving the Meta-Diaphyseal Junction

Orthopedics
Jin Kyu LeeKyu-Tae Hwang

Abstract

The clinical and radiological outcomes of proximal tibia fractures involving the meta-diaphyseal junction treated with unilateral 3.5-mm locking precontoured anatomical plates are reported. Thirty-nine patients (41 proximal tibia fractures) who had proximal tibia fractures with complete meta-diaphyseal dissociation were enrolled in the study. For all patients, immediate postoperative and final follow-up simple radiographs were evaluated to determine the quality of the reduction by assessing coronal and sagittal alignment. In cases of intra-articular involvement, articular reduction quality and condylar width were additionally assessed. Clinical outcomes were assessed by knee range of motion and Lysholm knee score at final follow-up. Immediate postoperative radiographs showed satisfactory results: medial proximal tibial angle within 87°±5° in 87.8% (36 of 41), posterior tibia slope within 9°±5° in 85.4% (35 of 41), less than 2-mm articular step or gap in 79.3% (23 of 29), and a condylar width difference within 5 mm compared with the femoral condyles in 93.1% (27 of 29). All reductions but 1 were found to have satisfactory maintenance of the initial reduction. At final follow-up, the mean knee range of motion and Lysholm knee sco...Continue Reading

References

Mar 7, 2002·Journal of Orthopaedic Trauma·Madhav A KarunakarJames F Kellam
Jul 13, 2006·Archives of Orthopaedic and Trauma Surgery·Chi-Chuan Wu, Ching-Lung Tai
Nov 28, 2013·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Saqib HasanFrank A Liporace
Apr 3, 2014·International Health·Chia-Hao Chang
Jun 5, 2015·The Orthopedic Clinics of North America·Richard S YoonKenneth A Egol
Sep 15, 2016·Trauma Monthly·Abolfazl BagherifardHossein Karimi Heris

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