Intra-articular elevating osteotomy for tibial plateau fracture malunion with intra-articular depression: Surgical technique and review

Q4 Medicine

Trauma Case Reports Pub Date : 2024-05-13 DOI:10.1016/j.tcr.2024.101038

Sohaib E.L. Mahjoubi, Ilyesse Haichour, Amine E.L. Farhaoui, Oussama Jelti, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi

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引用次数: 0

Abstract

Open reduction with internal fixation is the gold standard treatment for tibial plateau fractures. However, some complications can be observed despite a well-established procedure. Apart from stiffness, malunion is the most frequent complication of tibial plateau fractures.

These malunions may be intra-articular or extra-articular or combined.

Intra-articular or extra-articular osteotomy is a good option to treat malunion in young and active patients without significant joint damage. When malunion is associated with extensive joint involvement or the initial cartilage damage has resulted in knee osteoarthritis, the surgical option is a total replacement of the knee joint with arthroplasty.

We report the case of a patient with a tibial plateau fracture treated initially at a traditional bonesetter complicated at the end of the treatment with the persistent of the knee pain and limping.

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关节内抬高截骨术治疗伴有关节内凹陷的胫骨平台骨折愈合不良：手术技巧与回顾

切开复位加内固定是治疗胫骨平台骨折的金标准。然而，尽管手术方法成熟，仍会出现一些并发症。关节内或关节外截骨是治疗年轻、活跃、无明显关节损伤的胫骨平台骨折并发症的良好选择。我们报告了一例胫骨平台骨折患者的病例，该患者最初接受了传统的接骨治疗，但治疗结束后膝关节疼痛和跛行持续存在。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.