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Treatment of Shatzker Type VI Tibia Plateau Fracture Using Lateral and Posteromedial Dual Incision Approach and Dual Plating
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In Jung Chae, Sang Won Park, Soon Hyuck Lee, Won Noh, Ho Joong Kim, Seung Beom Hahn
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J Korean Fract Soc 2009;22(4):252-258. Published online October 31, 2009
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DOI: https://doi.org/10.12671/jkfs.2009.22.4.252
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To evaluate the radiologic and clinical results of treatment of the Shatzker type 6 tibia plateau fracture using the lateral and posteromedial dual incision approach and dual plating. MATERIALS AND METHODS: Twelve cases in eleven patients of Shatzker type 6 tibia plateau fracture which has been treated using the lateral and posteromedial dual incision approach and dual plating were analyzed with an average follow-up of 16 months. Times to union, alignment and reduction loss on radiograph and postoperative clinical outcome with checking the range of motion of the knee joint, Knee Society Score and UCLA activity scale were analyzed and evaluated. RESULTS: In all cases, bony union was obtained in an average fifteen weeks after the operation, and there was no reduction loss. The arc of motion of the knee joint at the latest follow-up was 132 degrees on average. Average of Knee Society Score was 85 and UCLA activity scale was decreased from 9.6 points preoperatively to 5.7 points postoperatively. CONCLUSION: The treatment of Shatzker type 6 tibia plateau fracture using the lateral and posteromedial dual approach and dual plating have shown clinically preferable results of excellent recovery of joint motion and good knee society score by early range of motion exercise after firm fixation. However, it was high energy injury, so the sports activity of patients was significantly decreased.
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Citations
Citations to this article as recorded by  - Staged Treatment of Bicondylar Tibial Plateau Fracture (Schatzker Type V or VI) Using Temporary External Fixator: Correlation between Clinical and Radiological Outcomes
Seung Min Ryu, Han Seok Yang, Oog Jin Shon
Knee Surgery and Related Research.2018; 30(3): 261. CrossRef - Medial Minimally Invasive Percutaneous Plate Osteosynthesis in Proximal Tibial Comminuted Fractures
Jae-Ang Sim, Kwang-Hui Kim, Yong-Seuk Lee, Sang-Jin Lee, Beom-Koo Lee
Journal of the Korean Orthopaedic Association.2014; 49(4): 278. CrossRef - Current Concepts in Management of Tibia Plateau Fracture
Sang Hak Lee, Kang-Il Kim
Journal of the Korean Fracture Society.2014; 27(3): 245. CrossRef
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Treatment of Complex Tibial Plateau Fractures: A Modified Patient Positioning for the Combined Anterior and Posterior Approaches
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Jong Keon Oh, Chang Wug Oh, Seung Beom Hahn, Kwon Jae Roh, Kwan Hee Lee
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J Korean Fract Soc 2006;19(3):396-400. Published online July 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.3.396
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Abstract
- We have treated thirteen complex plateau fractures involving both condyles with one of the following conditions with the use of the combined anterior and posterior approaches in a modified supine position. Associated PCL avulsion fracture, displacement of major fracture plane dominantly at the back, large coronal fracture fragment involving medial or lateral condyles. A patient is placed on an operation table in supine position with a bump under the contralateral buttock. The well leg is placed in a lithotomy position and the injured leg is placed over a sterilized Mayo stand separately. For the posterior approach the table was tilt toward the injured side with the hip abducted and rotated externally. With a modified patient's positioning we were able to use combined anterior and posterior approaches simultaneously for the management of certain complex plateau fractures without changing the draping.
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Citations
Citations to this article as recorded by - Current Concepts in Management of Tibia Plateau Fracture
Sang Hak Lee, Kang-Il Kim
Journal of the Korean Fracture Society.2014; 27(3): 245. CrossRef
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162
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Operative Treatment of Intertrochanteric Fractures of the Femur in Elderly Patiene
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Sang Won Park, Seung Beom Hahn
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J Korean Soc Fract 1995;8(2):332-339. Published online April 30, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.2.332
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Abstract
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- There are many problems in the treatment of the intertrochanteric fractures due to oslteoporosis and unstable pattern of fractures in elderly patients and determined by quality of the bone, geometry of the fragments, reduction of the fragments, type of the implant and its placements.
The authors analysed the 52 patients of the intertrochanteric fracture over 60 years old age who were operatively treated with compression hip screws and followed more than 1 year at Department of Orthopaedic Surgery, Korea University Hospital from Mar. 1986 to Dec.1992 in order to evaluate the results and prognostic factors.
The results obtained were as follows: 1. According to Tronzo classification, the most common type was 3 in 27 cases(52%).
2. Among the fifty two cases, the patients having osteoporosis below grade 3 of Singh index was 30 cases(58%). In osteoporotic group(Singh index 1-3), unstable type fracture were more common(70%).
3. The most common pattern of reduction was anatomical reduction in 23 cases(66%), and medialization(9 cases), varus reduction(6 cases), valses refection(3 cases) in order of frequency.
4. The sliding length of lag screw was 7.8mm in average, 16.5mm in complicated cases, and 4.1 mm in uncomplicated cases.
5. The complications were developed in 13 cases(257o), and progressive varus deformity was most common in 9 cases. The complication rate had statiscally significant correlation with type of fracture, osteoporosis, pattern of reduction and sliding length of the lag screw.
6. The prognostic factors of the intertrochanteric fractures of the femur in elderly patients were fracture type, pattern of the reduction, position of the lag screws.
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