Short-term effect of surgery using a novel medial and lateral hook locking plate in treatment of complex tibial plateau fractures

doi:10.3877/cma.j.issn.1674-0785.2024.08.011

Abstract

Abstract:

Objective

To evaluate the clinical outcomes of surgery using a novel medial and lateral hook locking plate in the treatment of complex tibial plateau fractures.

Methods

From July 2017 to April 2019， 10 cases of complex tibial plateau fractures were treated surgically using a novel medial and lateral hook locking plate.

Results

The 10 patients were followed for 8～12 months， with an average of 9.5 months.The mean time of union was 4.8 months （range， 4～6 months）.At the last follow-up， no unstability occurred， and the mean range of motion of the knee was 0.1° in extension and flexion 123.5° in flexion.The mean Oxford score was 39.7 points， and the mean HSS score was 89.3 points.

Conclusion

Surgical treatment of complex tibial plateau fractures with the novel medial and lateral hook locking plate can not only make internal fixation more suitable in different individuals， but also reduce iatrogenic injuries and medical cost，with satisfactory clinical results.

Key words: Novel medial and lateral hook locking plates, Fixation, Complex tibial plateau fractures

Rong Yu, WeiLi Zhou, Qing Lei, Song Chen, Li Chen, Feng Liu, Zhou Ding, Hongqi Yang, Kang Wang, Dapeng Wang. Short-term effect of surgery using a novel medial and lateral hook locking plate in treatment of complex tibial plateau fractures[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(08): 766-772.

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URL: https://zhlcyszz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0785.2024.08.011

https://zhlcyszz.cma-cmc.com.cn/EN/Y2024/V18/I08/766

Figures/Tables 7

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病例	Schatzker分型	同种异体植骨	骨折愈合（月）	活动范围（伸-屈）°	Oxford评分	HSS评分	并发症
1	V	是	6	3～130	44	92	无
2	V	是	5	3～125	34	93	无
3	V	是	6	0～135	42	93	无
4	V	是	4	-3～125	41	78	无
5	V	是	4	0～120	46	94	无
6	VI	是	6	0～115	44	92	无
7	V	是	4	-5～125	35	93	无
8	VI	是	4	3～115	40	88	无
9	VI	是	4	0～120	36	86	无
10	V	是	5	0～125	35	84	无

病例	Schatzker分型	同种异体植骨	骨折愈合（月）	活动范围（伸-屈）°	Oxford评分	HSS评分	并发症
1	V	是	6	3～130	44	92	无
2	V	是	5	3～125	34	93	无
3	V	是	6	0～135	42	93	无
4	V	是	4	-3～125	41	78	无
5	V	是	4	0～120	46	94	无
6	VI	是	6	0～115	44	92	无
7	V	是	4	-5～125	35	93	无
8	VI	是	4	3～115	40	88	无
9	VI	是	4	0～120	36	86	无
10	V	是	5	0～125	35	84	无

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