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https://hdl.handle.net/2440/65661
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Type: | Journal article |
Title: | Weight-bearing-induced displacement and migration over time of fracture fragments following split depression fractures of the lateral tibial plateau: A case series with radiostereometric analysis |
Author: | Solomon, L. Callary, S. Stevenson, A. Mc Gee, M. Chehade, M. Howie, D. |
Citation: | Journal of Bone and Joint Surgery: British Volume, 2011; 93B(6):817-823 |
Publisher: | British Editorial Soc Bone Joint Surgery |
Issue Date: | 2011 |
ISSN: | 0301-620X 2044-5377 |
Statement of Responsibility: | L. B. Solomon, S. A. Callary, A. W. Stevenson, M. A. McGee, M. J. Chehade, D. W. Howie |
Abstract: | We investigated the stability of seven Schatzker type II fractures of the lateral tibial plateau treated by subchondral screws and a buttress plate followed by immediate partial weight-bearing. In order to assess the stability of the fracture, weight-bearing inducible displacements of the fracture fragments and their migration over a one-year period were measured by differentially loaded radiostereometric analysis and standard radiostereometric analysis, respectively. The mean inducible craniocaudal fracture fragment displacements measured -0.30 mm (-0.73 to 0.02) at two weeks and 0.00 mm (-0.12 to 0.15) at 52 weeks. All inducible displacements were elastic in nature under all loads at each examination during follow-up. At one year, the mean craniocaudal migration of the fracture fragments was -0.34 mm (-1.64 to 1.51). Using radiostereometric methods, this case series has shown that in the Schatzker type II fractures investigated, internal fixation with subchondral screws and a buttress plate provided adequate stability to allow immediate post-operative partial weight-bearing, without harmful consequences. |
Keywords: | Humans Tibial Fractures Tomography, X-Ray Computed Treatment Outcome Fracture Fixation, Internal Bone Plates Bone Screws Weight-Bearing Rotation Adult Middle Aged Female Male |
Rights: | Copyright © 2011 by British Editorial Society of Bone and Joint Surgery |
DOI: | 10.1302/0301-620X.93B6.26122 |
Published version: | http://dx.doi.org/10.1302/0301-620x.93b6.26122 |
Appears in Collections: | Aurora harvest 5 Orthopaedics and Trauma publications |
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