Revisión de los casos de fracturas de plato tibial Schatzker V y VI tratada con osteosíntesis y/o fijación externa en el Hospital San Juan de Dios durante el año 2015
Keywords:
Tibial plateau fractures, Shatzker V, Shatzker VI, osteosynthesis.Abstract
Tibialplateau fractures represent 1,2% of all fractures, they are predominant in two groups: young patients who suffer of high-energy trauma and in elderly with osteopenia due to low energy trauma. In young patients, soft tissue trauma is more frequent due to bone resistance, in the elderly it is associated with articular surface depression. Fractures causes are associated with valgus or varus axial compression, precipitation, car accidents and sports. Lateral tibialplateau fractures are more frequent than medial fractures due to physiological valgus.
These fractures are divided in VI types, V and VI include both tibialplateau, medial and lateral, having worst post surgical results due to recovery time and residual sequels.
This study will evaluate treatment election in Hospital San Juan de Dios and present epidemiological background with costarrican data that will be useful for future investigations and/or treatment protocols. Surgical results are assessed with patient satisfaction with the surgical process and post surgical functionality, because these variables have proven best effect in therapeutical intervention evaluation.
References
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19. Shah, S. & Karunakar, M. (2007). Early wound complications after operative treatment of high energy tibial plateau fractures through two incisions. Bull NYU HospJtDis, 65(2), 115-9.
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25. Subasi, M., Kapukaya, A., Arslan, H., Ozkul, E. & Cebesoy, O. (2007). Outcome of open comminuted tibial plateau fractures treated using an external fixator. J Orthop Sci, 12, 347‐53.
26. Catagni, M., Ottaviani, G. & Maggioni, M. (2007). Treatment strategies for complex fractures of the tibial plateau with external circular fixation and limited internal fixation. J Trauma, 63(5), 1043-1053.
27. Katsenis, D., Dendrinos, G., Kouris, A., Savas, N. & Schoinochoritis, N. (2009). Combination of fine wire fixation and limited internal fixation for high-energy tibial plateau fractures: functional results at minimum 5-year follow-up. J Orthop Trauma, 23(7), 493-501.
28. Lee, J., Papadakis, S., Moon, C. & Zalavras, C. (2007). Tibial plateau fractures treated with the less invasive stabilisation system. Int Orthop, 31(3), 415-8.
29. Dirschl, D. & Del Gaizo, D. (2007). Staged management of tibial plateau fractures. Am J Orthop, 36(4 Suppl), 12-7.
30. Tang, X., Liu, L., Tu, C., Yang, T., Wang, G. & Fang, Y. (2012). Timing of internalfixation and effecton Schatzker IV-VI tibial plateau fractures. ChineseJournal of Traumatology, 15(2), 81-85.
31. Mahadeva, D., Costa, M. & Gaffey, A. (2008). Open reduction and internal fixation versus hybrid fixation for bicondylar/severe tibial plateau fractures: a systematic review of the literature. Arch Orthop Trauma Surg, 128(10), 1169-75.
32. Hall, J., Beuerlein, M. & McKee, M. (2009). Open reduction and internal fixation compared with circular fixator application for bicondylartibial plateau fractures. Surgicaltechnique. J BoneJointSurg Am, 91 (Suppl 2), 74-88.
33. Mckee, M., Pirani, S. & Stephen, D. (2006). Open reduction and internal fixation compared with circular fixator application for bicondylartibial plateau fractures. Results of a multicenter, prospective, randomized clinical trial. J Bone Joint Surg Am, 88, 2613‐23.
34. Musahl, V., Tarkin, I., Kobbe, P., Tzioupis, C., Siska, P. & Pape, H. (2009). Newtrendsand techniques in open reduction and internal fixation of fractures of the tibial plateau. J BoneJointSurg Br., 91(4), 426-33.
2. Álvarez, L. García, Y. Gutiérrez, M. & Montanchez, D. (2010). Clasificación de Schatzker en las
fracturas de la meseta tibial. AMC, 14(6).
3. Pun, T., Krishnamoorthy, V., Poonnoose, P., Oommen, A. & Korula, J. (2014). Outcome of Schatzker type V and VI tibial plateau fractures. Indian J Orthop, 48(1), 36-41.
4. Khatri, K., Lakhotia, D., Sharma, V., Kumar, K., Sharma, G. & Farooque, K. (2014). Functional Evaluation in High Energy (Schatzker Type V and Type VI) Tibial Plateau Fractures Treated by Open Reduction and Internal Fixation. In Sch Res Notices, 589538.
5. Young, M. & Barrack, R. (1994). Complications of internal fixation of tibial plateau fractures.
OrthopaedicReview, 23(2), 149–154.
6. DeCoster, T., Nepola, J. & El-Khoury, G. (1988). Cast brace treatment of proximal tibia fractures. A ten-year follow-up study. Clinical Orthopaedics and Related Research, 231, 196–204.
7. Moore, M. (1981). Fracture-dislocation of the knee. Clinical Orthopaedics and Related Research, 156, 128–140.
8. Nabil, F.Sabry, F. Haman, S. (2004). Open reduction and internal fixation of 117 tibial plateau fractures. Orthopedics, 27(12), 1281–1287.
9. Maripuri, S., Rao, P., Manoj-Thomas, A. & Mohanty, K. (2008). The classification systems for tibial plateau fractures: how reliable are they? Injury, 39(10), 1216-21.
10. Charalambous, C., Tryfonidis, M.Alvi, F. Moran, M. & Fang, C. (2007). Inter- and intra- observer variation of the Schatzker and AO/OTA classifications of tibial plateau fractures and a proposal of a new classification system. Ann R CollSurgEngl, 89(4), 400-4.
11. Gardner, M. J., Yacoubian, S., Geller, D., Pode, M. & Mintz, D. (2006). Prediction of soft-tissue injuries in Schatzker II tibial plateau fractures based on measurements of plain radiographs. J Trauma, 60(2), 319-23.
12. Wahlquist, M., Laguilli, N., Ebraheim, N. & Levine, J. (2007). Medial tibial plateau fractures: a new classification system. J Trauma, 63(6), 1418-21.
13. Stark, E., Stucken, C., Trainer, G. & Tornetta, P. (2009). Compartment syndrome in Schatzker type VI plateau fractures and medial condylar fracture-dislocations treated with temporary external fixation. J Orthop Trauma, 23(7), 502-6.
14. Blin, D., Cyteval, C., Kamba, C., Blondel, M. & López, F. (2007). Imaging of traumatic injuries of the knee. J Radiol, 88, 775-88.
15. Hu, Y. L., Ye, F. Ji, A., Qiao, G. & Liu, H. (2009). Three-dimensional computed tomography imaging increases the reliability of classification systems for tibial plateau fractures. Injury, 40(12), 1282-5.
16. Markhardt, B. K., Gross, J. M. & Monu, J. U.(2009). Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment. Radiographics, 29(2), 585-97.
17. Yang, S., Kuo, S., Chang, S,. Su, T., Chen, H., Renn, J., et al. (2013). Biomechanical Comparison of Axial Load Between Cannulated Locking Screws and Noncannulated Cortical Locking Screws. Ortophedics, 36(10).
18. Spagnolo, R. & Pace, F. (2012). Management of the Schatzker VI fractures with lateral locked screw plating. Musculoskelet Surg, 96(2),75-80.
19. Shah, S. & Karunakar, M. (2007). Early wound complications after operative treatment of high energy tibial plateau fractures through two incisions. Bull NYU HospJtDis, 65(2), 115-9.
20. Goesling, T., Frenk, A., Appenzeller, A., Garapati, R., Marti, A. & Krettek, C. (2003). LISS PLT: design, mechanical and biomechanical characteristics. Injury, 34, 11-15.
21. Kubiak, E., Camuso, M., Barei, D. & Nork, S. (2008). Operative treatment of ipsilateral noncontiguous unicondylartibial plateau and shaft fractures: combining plates and nails. J Orthop Trauma, 22(8), 560-5.
22. Uhl, R., Gainor, J. & Horning, J. (2008). Treatment of bicondylartibial plateau fractures with lateral locking plates. Orthopedics, 31(5), 473-7
23. Yu, Z., Zheng, L., Zhang, Y., Li, J. & Ma, B. (2009). Functional and radiological evaluations of highenergy tibial plateau fractures treated with double-buttress plate fixation. Eur J Med Res, 14(5), 200-5.
24. Kataria, H., Sharma, N. & Kanojia, R. (2007). Small wire external fixation for high‐energy tibial plateau fractures. J Orthop Surg (Hong Kong), 15, 137‐43.
25. Subasi, M., Kapukaya, A., Arslan, H., Ozkul, E. & Cebesoy, O. (2007). Outcome of open comminuted tibial plateau fractures treated using an external fixator. J Orthop Sci, 12, 347‐53.
26. Catagni, M., Ottaviani, G. & Maggioni, M. (2007). Treatment strategies for complex fractures of the tibial plateau with external circular fixation and limited internal fixation. J Trauma, 63(5), 1043-1053.
27. Katsenis, D., Dendrinos, G., Kouris, A., Savas, N. & Schoinochoritis, N. (2009). Combination of fine wire fixation and limited internal fixation for high-energy tibial plateau fractures: functional results at minimum 5-year follow-up. J Orthop Trauma, 23(7), 493-501.
28. Lee, J., Papadakis, S., Moon, C. & Zalavras, C. (2007). Tibial plateau fractures treated with the less invasive stabilisation system. Int Orthop, 31(3), 415-8.
29. Dirschl, D. & Del Gaizo, D. (2007). Staged management of tibial plateau fractures. Am J Orthop, 36(4 Suppl), 12-7.
30. Tang, X., Liu, L., Tu, C., Yang, T., Wang, G. & Fang, Y. (2012). Timing of internalfixation and effecton Schatzker IV-VI tibial plateau fractures. ChineseJournal of Traumatology, 15(2), 81-85.
31. Mahadeva, D., Costa, M. & Gaffey, A. (2008). Open reduction and internal fixation versus hybrid fixation for bicondylar/severe tibial plateau fractures: a systematic review of the literature. Arch Orthop Trauma Surg, 128(10), 1169-75.
32. Hall, J., Beuerlein, M. & McKee, M. (2009). Open reduction and internal fixation compared with circular fixator application for bicondylartibial plateau fractures. Surgicaltechnique. J BoneJointSurg Am, 91 (Suppl 2), 74-88.
33. Mckee, M., Pirani, S. & Stephen, D. (2006). Open reduction and internal fixation compared with circular fixator application for bicondylartibial plateau fractures. Results of a multicenter, prospective, randomized clinical trial. J Bone Joint Surg Am, 88, 2613‐23.
34. Musahl, V., Tarkin, I., Kobbe, P., Tzioupis, C., Siska, P. & Pape, H. (2009). Newtrendsand techniques in open reduction and internal fixation of fractures of the tibial plateau. J BoneJointSurg Br., 91(4), 426-33.
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2020-11-12
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Revisión de los casos de fracturas de plato tibial Schatzker V y VI tratada con osteosíntesis y/o fijación externa en el Hospital San Juan de Dios durante el año 2015. (2020). Medicina Legal De Costa Rica, 34(1). https://www.binasss.sa.cr/ojssalud/index.php/mlcr/article/view/33
