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Outcome of 3.5-mm Anatomical Locking Plates for the Treatment of Proximal Tibia Fractures Involving the Meta-Diaphyseal Junction

Title
Outcome of 3.5-mm Anatomical Locking Plates for the Treatment of Proximal Tibia Fractures Involving the Meta-Diaphyseal Junction
Author
이진규
Keywords
INVASIVE STABILIZATION SYSTEM; FIXATION
Issue Date
2018-11
Publisher
SLACK INC
Citation
ORTHOPEDICS, v. 41, no. 6, page. E777-E782
Abstract
The clinical and radiological outcomes of proximal tibia fractures involving the meta-diaphyseal junction treated with unilateral 3.5-mm locking precontoured anatomical plates are reported. Thirty-nine patients (41 proximal tibia fractures) who had proximal tibia fractures with complete meta-diaphyseal dissociation were enrolled in the study. For all patients, immediate postoperative and final follow-up simple radiographs were evaluated to determine the quality of the reduction by assessing coronal and sagittal alignment. In cases of intra-articular involvement, articular reduction quality and condylar width were additionally assessed. Clinical outcomes were assessed by knee range of motion and Lysholm knee score at final follow-up. Immediate postoperative radiographs showed satisfactory results: medial proximal tibial angle within 87 degrees +/- 5 degrees in 87.8% (36 of 41), posterior tibia slope within 9 degrees +/- 5 degrees in 85.4% (35 of 41), less than 2-mm articular step or gap in 79.3% (23 of 29), and a condylar width difference within 5 mm compared with the femoral condyles in 93.1% (27 of 29). All reductions but 1 were found to have satisfactory maintenance of the initial reduction. At final follow-up, the mean knee range of motion and Lysholm knee score were 122.5 degrees (range, 100 degrees 135 degrees) and 75.8 (range, 50-100), respectively. A single lateral 3.5-mm plate fixation for proximal tibia fractures involving the meta-diaphyseal junction offers mechanically stable fixation with satisfactory clinical and radiological outcomes.
URI
https://www.healio.com/orthopedics/journals/ortho/2018-11-41-6/%7B5135804a-c9dd-436c-9087-c34986936c19%7D/outcome-of-35-mm-anatomical-locking-plates-for-the-treatment-of-proximal-tibia-fractures-involving-the-meta-diaphyseal-junctionhttp://repository.hanyang.ac.kr/handle/20.500.11754/120553
ISSN
0147-7447; 1938-2367
DOI
10.3928/01477447-20180912-01
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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