KONEČNÝ, Jan, Michal REŠKA, Jan ČIERNIK a Lenka VEVERKOVÁ. Arthroscopically assisted osteosyntesis of intra-articular proximal tibial fracture. In 12th European Congress of Trauma and Emergency Surgery, April 27–30, 2011, Milan/Italy. 2011. Dostupné z: https://dx.doi.org/10.1007/s00068-011-0115-4.
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Základní údaje
Originální název Arthroscopically assisted osteosyntesis of intra-articular proximal tibial fracture
Autoři KONEČNÝ, Jan (203 Česká republika, garant), Michal REŠKA (203 Česká republika, domácí), Jan ČIERNIK (203 Česká republika, domácí) a Lenka VEVERKOVÁ (203 Česká republika, domácí).
Vydání 12th European Congress of Trauma and Emergency Surgery, April 27–30, 2011, Milan/Italy, 2011.
Další údaje
Originální jazyk angličtina
Typ výsledku Konferenční abstrakt
Obor 30211 Orthopaedics
Stát vydavatele Německo
Utajení není předmětem státního či obchodního tajemství
Kód RIV RIV/00216224:14110/11:00054484
Organizační jednotka Lékařská fakulta
Doi http://dx.doi.org/10.1007/s00068-011-0115-4
Klíčová slova anglicky arthroscopy osteosyntesis arthroscopically assisted osteosyntesis tibial fracture
Příznaky Mezinárodní význam
Změnil Změnila: doc. MUDr. Lenka Veverková, Ph.D., učo 1681. Změněno: 10. 3. 2012 18:46.
Anotace
Introduction: Intra-articular proximal tibial fractures are some of the most challenging periarticular injuries to treat. Anatomic restoration of the articular surface with rigid internal fixation, allowing immediate range of motion, is critical to a successful, functional outcome. Arthroscopic techniques possess several advantages over conventional open reduction and internal fixation performed through an arthrotomy. Usually is arthroscopically assisted osteosynthesis recommended for fractures classified B according to the AO system. Materials and methods: In the period from 2005 to 2010, 54 patients with proximal tibial fractures were operated in our department. Fractures AO 42 B1-C3 were diagnosed by CT before operation. In all these cases we used arthroscopically assisted osteosynthesis. Minimally invasive fixation with cancellous screws was used in 9, buttress plate in 24 and LCP in 21 patients. Spongioplasty was carried out in 27 patients and 11 meniscal ruptures were repaired. Results: 52 patients were healed without complication. Complication was in 2 cases of B type fractures: 1 failure of osteosynthesis and 1 flebothrombosis. Conclusion: Results and number of complication of arthroscopically assisted osteosynthesis of intra-articular fractures of proximal tibia classified according to the AO system B and C are comparable. That is why arthroscopic techniques could be used for both groups of fractures.
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