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Date Published: 27/05/2024
Online Published: 27/05/2024
Abstract Views: 7
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DOI: https://doi.org/10.58490/ctump.2024i74.2631
Issue
No. 74 (2024)
Section
Article
How to Cite
Mai , T. C. C., Hoang , M. T., Nguyen, V. N., Nguyen, T. T., Tran , D. H., Dang , P. G., & Thach , T. T. (2024). EVALUATION OF OUTCOMES IN TREATING CLOSED POSTERIOR TIBIAL PLATEAU FRACTURES USING OPEN REDUCTION INTERNAL FIXATION. Cantho Journal of Medicine and Pharmacy, 74, 173-179. https://doi.org/10.58490/ctump.2024i74.2631

EVALUATION OF OUTCOMES IN TREATING CLOSED POSTERIOR TIBIAL PLATEAU FRACTURES USING OPEN REDUCTION INTERNAL FIXATION

Thanh Cong Chien Mai 1,, Minh Tu Hoang 1, Viet Nam Nguyen2, Thanh Tan Nguyen1, Do Hung Tran 1, Phuoc Giau Dang 1, Thanh Tung Thach 3
1 Can Tho University Medicine and Pharmacy
2 108 Military Central Hospital
3 Can Tho Central General Hospital

Main Article Content

Abstract

Background: The tibial plateau fracture is a type of fracture related to the joint surface of the upper end of the tibia articulating with the distal end of the femur. Among them, the posterior column fracture of the tibial plateau occurs when a fall mechanism impacts the femoral condyle on the knee joint in a flexed position. Objectives: To assess the treatment outcomes of closed posterior tibial plateau fractures using open reduction and internal fixation method. Materials and methods: 33 cases of posterior tibial plateau fractures with three-dimensional CT scans were treated at Can Tho Central General Hospital and Can Tho University of Medicine and Pharmacy Hospital from June 2022 to April 2024. Results: The study revealed 6 cases requiring bone grafting, accounting for 18.2%. Among the patients, 23 cases experienced varus force causing fractures on the medial tibial plateau (69.7%), while 10 cases experienced valgus force causing lateral tibial plateau (30.3%). Postoperative complications occurred in 2 cases (6.06%), including one case of common peroneal nerve injury and one case of superficial infection. After 3 months, 26 cases (78.8%) achieved good results, 6 cases (18.2%) achieved very good results, and 1 case (3%) achieved moderate functional recovery. At 6 months, all cases showed good to excellent functional recovery. Conclusion: The research provides many morphological tibial plateau fractures with 3D CT scans to support classifying the posterior tibial plateau fractures and assists the surgeon in selecting the most suitable surgical approach and optimizing bone fixation techniques tailored to each specific fracture type. 

Article Details

Keywords

Posterior tibial plateau fractures, three-column classification, reverse L-shaped incision approach

References

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