{"title":"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","authors":"Sohaib E.L. Mahjoubi, Ilyesse Haichour, Amine E.L. Farhaoui, Oussama Jelti, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi","doi":"10.1016/j.tcr.2024.101038","DOIUrl":null,"url":null,"abstract":"<div><p>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.</p><p>These malunions may be intra-articular or extra-articular or combined.</p><p>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.</p><p>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.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235264402400061X/pdfft?md5=5ced4ff01af316f29cfc49c7b7313159&pid=1-s2.0-S235264402400061X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Intra-articular elevating osteotomy for tibial plateau fracture malunion with intra-articular depression: Surgical technique and review\",\"authors\":\"Sohaib E.L. Mahjoubi, Ilyesse Haichour, Amine E.L. Farhaoui, Oussama Jelti, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi\",\"doi\":\"10.1016/j.tcr.2024.101038\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>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.</p><p>These malunions may be intra-articular or extra-articular or combined.</p><p>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.</p><p>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.</p></div>\",\"PeriodicalId\":23291,\"journal\":{\"name\":\"Trauma Case Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-05-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S235264402400061X/pdfft?md5=5ced4ff01af316f29cfc49c7b7313159&pid=1-s2.0-S235264402400061X-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Trauma Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S235264402400061X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trauma Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S235264402400061X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Intra-articular elevating osteotomy for tibial plateau fracture malunion with intra-articular depression: Surgical technique and review
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.
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.