Arthroscopically assisted osteosyntesis of intra-articular
proximal tibial fracture

a 2011

Arthroscopically assisted osteosyntesis of intra-articular proximal tibial fracture

KONEČNÝ, Jan, Michal REŠKA, Jan ČIERNIK and Lenka VEVERKOVÁ

Basic information

Original name

Arthroscopically assisted osteosyntesis of intra-articular proximal tibial fracture

Authors

KONEČNÝ, Jan (203 Czech Republic, guarantor), Michal REŠKA (203 Czech Republic, belonging to the institution), Jan ČIERNIK (203 Czech Republic, belonging to the institution) and Lenka VEVERKOVÁ (203 Czech Republic, belonging to the institution)

Edition

12th European Congress of Trauma and Emergency Surgery, April 27–30, 2011, Milan/Italy, 2011

Other information

Language

English

Type of outcome

Konferenční abstrakt

Field of Study

30211 Orthopaedics

Country of publisher

Germany

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/11:00054484

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1007/s00068-011-0115-4

Keywords in English

arthroscopy osteosyntesis arthroscopically assisted osteosyntesis tibial fracture

Abstract

V originále

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.

Citovat

KONEČNÝ, Jan, Michal REŠKA, Jan ČIERNIK and 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. Available from: https://dx.doi.org/10.1007/s00068-011-0115-4.

@proceedings{962633,
   author = {Konečný, Jan and Reška, Michal and Čiernik, Jan and Veverková, Lenka},
   booktitle = {12th European Congress of Trauma and Emergency Surgery, April 27–30, 2011, Milan/Italy},
   doi = {http://dx.doi.org/10.1007/s00068-011-0115-4},
   keywords = {arthroscopy osteosyntesis arthroscopically assisted osteosyntesis tibial fracture},
   language = {eng},
   title = {Arthroscopically assisted osteosyntesis of intra-articular proximal tibial fracture},
   year = {2011}
}

TY  - CONF
ID  - 962633
AU  - Konečný, Jan - Reška, Michal - Čiernik, Jan - Veverková, Lenka
PY  - 2011
TI  - Arthroscopically assisted osteosyntesis of intra-articular proximal tibial fracture
KW  - arthroscopy osteosyntesis arthroscopically assisted osteosyntesis tibial fracture
N2  - 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.
ER  -

KONEČNÝ, Jan, Michal REŠKA, Jan ČIERNIK and Lenka VEVERKOVÁ. Arthroscopically assisted osteosyntesis of intra-articular proximal tibial fracture. In \textit{12th European Congress of Trauma and Emergency Surgery, April 27–30, 2011, Milan/Italy}. 2011. Available from: https://dx.doi.org/10.1007/s00068-011-0115-4.

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