Development and clinical application of a new reduction device for the treatment of tibial plateau fracture under arthroscopic monitoring.
10.12200/j.issn.1003-0034.2023.06.013
- Author:
Xing-Rui HUANG
1
;
Yuan-Bin JIANG
1
;
Chong-Shan YANG
1
;
Hao XU
1
;
Shu-Chen FANG
1
;
Xiao-Wei CHEN
1
;
Cheng CHEN
1
;
Hao LI
1
Author Information
1. Department of Orthopedics, Wujiang District Hospital of Traditional Chinese Medicine, Wujiang 215200, Jiangsu, China.
- Publication Type:Journal Article
- Keywords:
Closed fracture reduction;
MIPPO;
Redactor;
Tibial plateau
- MeSH:
Male;
Female;
Humans;
Adolescent;
Young Adult;
Adult;
Middle Aged;
Tibial Plateau Fractures;
Tibial Fractures/surgery*;
Fracture Fixation, Internal/methods*;
Treatment Outcome;
Bone Plates;
Retrospective Studies
- From:
China Journal of Orthopaedics and Traumatology
2023;36(6):570-573
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To develop a reduction device for the arthroscopy-assisted treatment of tibial plateau fracture and explore its clinical efficacy.
METHODS:From May 2018 to September 2019, 21 patients with tibial plateau fracture were treated, including 17 males and 4 females. Their ages ranged from 18 to 55 years old with an average of (38.6±8.7) years old. There were 5 cases of Schatzker typeⅡand 16 cases of Schatzker type Ⅲ. The self-designed reductor combined with arthroscope was used for auxiliary reduction and fixation(minimally invasive percutaneous plate osteosynthesis). The efficacy was analyzed by observing the operation time, blood loss, fracture healing time and knee function(HSS and IKDC scoring criteria).
RESULTS:All the 21 patients were followed up for 8 to 24 with an average of(14.0±3.1) months. The operative time ranged from 70 to 95 min with an average of(81.7±7.6)min, incision length ranged from 4 to 7 cm with an average of(5.3±0.9) cm, intraoperative blood loss ranged from 20 to 50 ml with an average of(35.3±5.2) ml, postoperative weight-bearing time ranged from 30 to 50 d with an average of(35.1±9.2) d, fracture healing time ranged from 65 to 90 d with an average of(75.0±4.4) d, and complications were 0 cases, respectively. The fracture was well healed and no screw plate fracture was observed. The knee function scores of HSS and IKDC 18 months after operation were significantly higher than those before operation(P<0.05).
CONCLUSION:The custom-made reduction tool for the arthroscopic management of tibial plateau fracture is reasonable in design and simple in operation. The specific reduction tool could effectively reduce the fracture, and shorten the fixation time with minimally invasive procedure.
