Abstract

Background: Tibial plateau fractures vary in severity and may be difficult to treat. The concept of "raft screws" -- inserting multiple 3.5 mm screws parallel and close to the articular surface -- has shown good results in preventing articular surface settling. Therefore, we hypothesized that the reverse side of the 3.5 mm buttress plate originally used for treating distal radial fractures may be used to treat plateau fractures. Methods: Herein, we report four cases of tibial plateau fractures with lateral tibial plateau fractures in which open reduction and internal fixation were performed using the reverse side of a 3.5 mm distal radius buttress plate. Results: All patients allowed full range of motion (ROM) initially after surgery. After 3 months, the bone healed well and full weight bearing of the affected knee was achieved. Conclusion: A reversed distal radius buttress plate could be used as an alternative option to achieve rigid fixation and early ROM in patients with lateral tibial plateau fractures.
Original languageEnglish
Pages (from-to)104-107
Number of pages4
JournalFormosan Journal of Musculoskeletal Disorders
Volume7
Issue number2
DOIs
Publication statusPublished - 2016

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Tibial Fractures
Articular Range of Motion
Joints
Weight-Bearing
Knee
Bone and Bones

Keywords

  • fixation
  • knee
  • proximal tibia
  • range of motion
  • tibial plateau fractures

Cite this

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title = "Managing lateral tibial plateau fractures by reversed 3.5 mm buttress plate: A report of four cases",
abstract = "Background: Tibial plateau fractures vary in severity and may be difficult to treat. The concept of "raft screws" -- inserting multiple 3.5 mm screws parallel and close to the articular surface -- has shown good results in preventing articular surface settling. Therefore, we hypothesized that the reverse side of the 3.5 mm buttress plate originally used for treating distal radial fractures may be used to treat plateau fractures. Methods: Herein, we report four cases of tibial plateau fractures with lateral tibial plateau fractures in which open reduction and internal fixation were performed using the reverse side of a 3.5 mm distal radius buttress plate. Results: All patients allowed full range of motion (ROM) initially after surgery. After 3 months, the bone healed well and full weight bearing of the affected knee was achieved. Conclusion: A reversed distal radius buttress plate could be used as an alternative option to achieve rigid fixation and early ROM in patients with lateral tibial plateau fractures.",
keywords = "fixation, knee, proximal tibia, range of motion, tibial plateau fractures",
author = "Yueh-Ying Hsieh and Lien-Chen Wu and Chang-Jung Chiang and Yang-Hwei Tsuang and Chia-Hsien Chen",
year = "2016",
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language = "English",
volume = "7",
pages = "104--107",
journal = "Formosan Journal of Musculoskeletal Disorders",
issn = "2210-7940",
publisher = "中華民國骨科醫學會",
number = "2",

}

TY - JOUR

T1 - Managing lateral tibial plateau fractures by reversed 3.5 mm buttress plate: A report of four cases

AU - Hsieh, Yueh-Ying

AU - Wu, Lien-Chen

AU - Chiang, Chang-Jung

AU - Tsuang, Yang-Hwei

AU - Chen, Chia-Hsien

PY - 2016

Y1 - 2016

N2 - Background: Tibial plateau fractures vary in severity and may be difficult to treat. The concept of "raft screws" -- inserting multiple 3.5 mm screws parallel and close to the articular surface -- has shown good results in preventing articular surface settling. Therefore, we hypothesized that the reverse side of the 3.5 mm buttress plate originally used for treating distal radial fractures may be used to treat plateau fractures. Methods: Herein, we report four cases of tibial plateau fractures with lateral tibial plateau fractures in which open reduction and internal fixation were performed using the reverse side of a 3.5 mm distal radius buttress plate. Results: All patients allowed full range of motion (ROM) initially after surgery. After 3 months, the bone healed well and full weight bearing of the affected knee was achieved. Conclusion: A reversed distal radius buttress plate could be used as an alternative option to achieve rigid fixation and early ROM in patients with lateral tibial plateau fractures.

AB - Background: Tibial plateau fractures vary in severity and may be difficult to treat. The concept of "raft screws" -- inserting multiple 3.5 mm screws parallel and close to the articular surface -- has shown good results in preventing articular surface settling. Therefore, we hypothesized that the reverse side of the 3.5 mm buttress plate originally used for treating distal radial fractures may be used to treat plateau fractures. Methods: Herein, we report four cases of tibial plateau fractures with lateral tibial plateau fractures in which open reduction and internal fixation were performed using the reverse side of a 3.5 mm distal radius buttress plate. Results: All patients allowed full range of motion (ROM) initially after surgery. After 3 months, the bone healed well and full weight bearing of the affected knee was achieved. Conclusion: A reversed distal radius buttress plate could be used as an alternative option to achieve rigid fixation and early ROM in patients with lateral tibial plateau fractures.

KW - fixation

KW - knee

KW - proximal tibia

KW - range of motion

KW - tibial plateau fractures

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DO - http://www.airitilibrary.com/Publication/alDetailedMesh?DocID=22107940-201605-201605270002-201605270002-104-107

M3 - Article

VL - 7

SP - 104

EP - 107

JO - Formosan Journal of Musculoskeletal Disorders

JF - Formosan Journal of Musculoskeletal Disorders

SN - 2210-7940

IS - 2

ER -