Wang QM, Yu JW, Zhong ZY, He JF, Wang G. Subdivision of injured area for Schatzker IV tibial plateau fracture repair: A report of 12 cases.
J Orthop Sci 2020;
25:481-486. [PMID:
31227299 DOI:
10.1016/j.jos.2019.05.020]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 04/11/2019] [Accepted: 05/26/2019] [Indexed: 11/16/2022]
Abstract
BACKGROUND
Treatment of Schatzker IV tibial plateau fractures is challenging due to the wide variety of potential fracture morphologies and injury to multiple ligaments. Subdivision of the injured area into three zones may simplify the preoperative plan. In this study, we reported 12 cases of Schatzker IV tibial plateau fracture that were treated with pre-operative plans based on a new subdivision of the injured area.
METHODS
From January 2012 to April 2016, 12 patients with a Schatzker IV tibial plateau fracture were treated in our hospital with preoperative plans guided by the new sub-division method. Clinical and radiological results were evaluated during follow-up.
RESULTS
In all cases, the incisions healed without skin necrosis, and the average Lysholm knee score was 73 points (range, 53-90) at the final follow-up.
CONCLUSION
Sub-division of the injured area represented a useful strategy for preoperative surgical planning in the treatment of Schatzker IV tibial plateau fractures.
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