RESULTADOS CLINICOS Y RADIOLOGICOS POSTERIORES AL TRATAMIENTO QUIRURGICO DE FRACTURA DE MESETA TIBIAL EN PACIENTES MILITARES EN ACTIVO DEL CENTRO MEDICO NAVAL DE MEXICO

Objective: To lay foundations in the population of theNavy Secretary from Mexico on the frequency, surgical approach, and recovery time of tibial plateau fractures, which would help in the future to develop more efficient protocols for the treatment of these patients and achieve their faster recovery, incorporating into their daily activities of high impact without complications. Materials and methods: We evaluated the functional and radiographic recovery of 20 active military patients with tibial plateau fracture undergoing surgical treatment at the Naval Medical Center of Mexico (CEMENAV) during the period from 2018 to 2021. Results: Of the patients evaluated in this study, it was found that 70% were men, in addition, it was observed that the most frequent tibial plateau fracture was type III, based on the Schatzker scale. Highlighting that the surgical approach most frequently was the previous one >80% of patients. In addition, 45% of patients showed excellent functional recovery, but 15% were poor. However, 90% of the patients had a very good radiographic recovery. Conclusion: The management of proximal tibial joint fractures that occur in the military, which are treated surgically at the Naval Medical Center of Mexico, show favorable functional results accompanied by an adequate radiological evaluation.

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Tibial plateau fracture: does fracture classification influence the choice of surgical approach? A retrospective multicenter analysis

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-020-01388-z ◽

2020 ◽

Author(s):

Markus Rossmann ◽

Florian Fensky ◽

Ann-Kathrin Ozga ◽

Johannes M. Rueger ◽

Sven Märdian ◽

...

Keyword(s):

Surgical Approach ◽

Tibial Plateau ◽

Tibial Plateau Fracture ◽

Fracture Classification ◽

Plateau Fracture ◽

Multicenter Analysis

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Applying autogenous iliac bone combined with allogeneic cortical bone for reconstructing collapse of the tibial plateau fracture

Academic Journal of Second Military Medical University ◽

10.3724/sp.j.1008.2011.00694 ◽

2011 ◽

Vol 31 (6) ◽

pp. 694-695

Author(s):

Wen-yue WANG ◽

Shen-sheng NIAN ◽

Lie-hu CAO ◽

Yong-fa WU ◽

Gen BA ◽

...

Keyword(s):

Cortical Bone ◽

Tibial Plateau ◽

Tibial Plateau Fracture ◽

Iliac Bone ◽

Plateau Fracture

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Comparison of tibial plateau fracture surgical outcomes between young and elderly patients: are outcomes really poorer in the elderly?

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-021-03855-7 ◽

2021 ◽

Author(s):

Joon-Kuk Kim ◽

Kyu-Tae Hwang ◽

Hyun-Soo Soh ◽

Oog-Jin Shon ◽

Ki-Chul Park

Keyword(s):

Elderly Patients ◽

Surgical Outcomes ◽

Tibial Plateau ◽

Tibial Plateau Fracture ◽

The Elderly ◽

Plateau Fracture

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Late-onset isolated cerebral fat embolism syndrome after a simple tibial plateau fracture: a rare case report

Journal of International Medical Research ◽

10.1177/03000605211028415 ◽

2021 ◽

Vol 49 (7) ◽

pp. 030006052110284

Author(s):

Ta-Li Hsu ◽

Tien-Chi Li ◽

Fei-Pi Lai ◽

Ming Ouhyoung ◽

Chih-Hung Chang ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rare Case ◽

Tibial Plateau ◽

Tibial Plateau Fracture ◽

Fat Embolism ◽

Resonance Imaging ◽

Fat Embolism Syndrome ◽

Embolism Syndrome ◽

Plateau Fracture

Fat embolism syndrome (FES) is a complication of long bone fractures that often occurs within 72 hours of injury. Early-onset isolated cerebral fat embolism is catastrophic and rarely reported. We herein present a rare case of delayed-onset isolated cerebral FES that developed 10 days after definite fixation of a left tibial plateau fracture. A 70-year-old woman was injured in a traffic accident and diagnosed with a left tibial plateau fracture. However, she developed sudden loss of consciousness (E4V1M1) and quadriplegia 10 days after fracture fixation. Her vital signs showed no respiratory distress. Diagnosis of isolated cerebral FES was made based on magnetic resonance imaging of the brain, the findings of which were compatible with the clinical neurological findings. After supportive care and rehabilitation, her consciousness became clear on the second day of admission, and her consciousness changed to E4V5M6. She gradually regained strength in her right limbs but had residual left limb paraplegia. Isolated cerebral FES should always be considered for patients who develop a change in consciousness, even beyond 72 hours after injury. Imaging may not initially show definitive abnormalities. Repeated magnetic resonance imaging should be considered if the initial clinical presentation does not fully meet Gurd’s criteria.

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Gastrocnemius muscle flap with vancomycin/gentamicin-calcium sulfate and autogenous iliac bone graft for the phase I treatment of localized osteomyelitis after tibial plateau fracture surgery

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02496-1 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Weiwei Ruan ◽

Menglu Li ◽

Qiaofeng Guo ◽

Bingyuan Lin

Keyword(s):

Phase I ◽

Calcium Sulfate ◽

Tibial Plateau ◽

Gastrocnemius Muscle ◽

Tibial Plateau Fracture ◽

Muscle Flap ◽

Iliac Bone ◽

Type Iii ◽

Plateau Fracture ◽

Fracture Surgery

Abstract Purpose To investigate the clinical effect of gastrocnemius muscle flaps combined with vancomycin/gentamicin-calcium sulfate combined and autologous iliac bone graft in the phase I treatment of traumatic focal osteomyelitis (Cierny-Mader type III) after tibial plateau fracture surgery. Methods From July 2009 to January 2018, 35 patients with localized osteomyelitis (Cierny-Mader type III) who met the inclusion criteria were followed up and treated. All patients were infected after undergoing internal fracture fixation surgery. Among them, 18 cases were plate-exposed, 14 cases were due to sinus tracts, two were due to skin necrosis, and one was bone-exposed. We treated patients with several measures. All cases were then followed up. The follow-up indicators included Hospital for Special Surgery knee scores (HSS), the time of laying drainage pipe, bone healing time, infection control rate, and the incidence of nonunion and other complications. Results All patients were followed up for 24–60 months. None of them underwent amputation. For repairing soft tissue defects, 17 cases were covered with a muscle flap using the medial head of gastrocnemius alone, 15 cases were treated with the lateral head of gastrocnemius muscle, and three cases were covered with the combination of the two heads. Compared to the preoperative score, we found that the average HSS improved at the 1-year and 2-year follow-up (54 vs. 86 vs. 87). Conclusion Using a gastrocnemius muscle flap combined with vancomycin/gentamicin-calcium sulfate and autogenous iliac bone was an effective method for the phase I treatment of osteomyelitis (Cierny-Mader type III) after tibial plateau fracture surgery. In the primary treatment of focal traumatic osteomyelitis, it can decrease the treatment time, number of surgeries, pain of patients, time of bone healing, postoperative exudation, and infection recurrence rate and increase the healing bone’s strength.

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