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Treatment of tibial plateau fractures with high strength injectable calcium sulphate

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Abstract

The aim of this article is to discuss the clinical efficacy of high strength injectable calcium sulphate (MIIGX3) in the treatment of tibial plateau fractures. Thirty-one patients with tibial plateau fractures treated with MIIGX3 were included. Postoperative radiographic study was used to evaluate congruity of the articular surface, bone regrowth, and the absorption process of MIIGX3. Rasmussen’s score system was adapted for the postoperative knee function recovery assessment. Twenty-eight of 31 patients were followed-up successfully with an average follow-up length of 14.6 months. Complete fracture healing was found in all patients. Complications included wound exudation and articular subsidence. Postoperative knee function was good according to Rasmussen’s score system. Six months after surgery, radiographs demonstrated equivalent bone density in the previous area of MIIGX3 as that of surrounding cancellous bone. The use of MIIGX3 in the treatment of tibial plateau fractures provides adequate intraoperative stability and improves the safety of early knee motion.

Résumé

Objectif: éva\luer l′efficacité d’un sulfate de calcium injectable MIIGX3 dans le traitement des fractures des plateaux tibiaux. Méthode: 31 patients présentant une fracture du plateau tibial ont été traités avec du MIIGX3. L’évaluation radiologique post-opératoire a analysé la continuité articulaire du plateau tibial, la reconstruction osseuse et l’absorption du sulfate de calcium. Le score de Rasmussen a permis d’évaluer la fonction post-opératoire de ces genoux. Résultats: 28 des 31 patients ont été suivis avec succès. Le suivi moyen a été de 14,6 mois. Une guérison complète de la fracture a été trouvée chez tous les patients. Les complications ont inclus les évacuations d’hématomes et les décrochages articulaires. En post-opératoire, la fonction du genou était bonne selon le score de Rasmussen. Six mois après la chirurgie, les radiographies ont montré une densité minérale osseuse équivalente à celle de l’os adjacent. En conclusion, l’utilisation de MIIGX3 dans le traitement des fractures des plateaux tibiaux permet d’obtenir une stabilité per-opératoire et d’améliorer les fonctions du genou.

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Authors and Affiliations

  1. Department of Orthopaedics, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China

    Baoqing Yu, Kaiwei Han, Hui Ma, Chuncai Zhang, Jiachan Su, Jie Zhao, Jingfeng Li, Yushu Bai & Hao Tang

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  1. Baoqing Yu
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  2. Kaiwei Han
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  3. Hui Ma
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  4. Chuncai Zhang
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  5. Jiachan Su
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Correspondence to Baoqing Yu.

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Yu, B., Han, K., Ma, H. et al. Treatment of tibial plateau fractures with high strength injectable calcium sulphate. International Orthopaedics (SICOT) 33, 1127–1133 (2009). https://doi.org/10.1007/s00264-008-0611-2

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  • DOI: https://doi.org/10.1007/s00264-008-0611-2

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