Arthroscopic-Assisted and Minimally Invasive Plate Osteosynthesis of Tibial Plateau Fractures
Notice bibliographique
Résumé
Background: Tibial plateau fractures are relatively rare fractures and have always been a challenge for orthopedic surgeons. These fractures may result in significant limitations postoperatively if not treated properly. The role of arthroscopic-assisted fixation of tibial plateau fractures has been advocated in many pieces of literature in the world during the last decades. Several studies have been published regarding arthroscopically assisted internal fixation of tibial plateau fractures. As it is an intra-articular lesion, surgical management is often challenging. We have very little data regarding these issues. The aim of this study was to assess the clinical and radiological outcome after arthroscopic-assisted minimally invasive plate fixation of tibial plateau fractures. Methods: This was a descriptive observational study which was conducted in a single Specialized Hospital, Dhaka, Bangladesh during the period from January 2015 to December 2019. Totally 38 patients with tibial plateau fractures (Schatzker type I-VI) were enrolled in the study. Radiography and 3D computed tomography were used to assess the fracture patterns. Arthroscopic-assisted minimally invasive plate fixation was done in all fractures under the image intensifier. An immediate postoperative radiograph was done and then repeated at 6 weeks as well as 3, 6, and 12 months after surgery. All data were processed, analyzed, and disseminated by MS Office and SPSS version as per need. Rasmunssen clinical and radiological assessment criteria were used for evaluation. Results: In our study, in analyzing the Rasmunssen clinical outcome we found, the highest number of participants got an “excellent” outcome, which was present in more than 70% (n = 27). Besides these, 21.05% (n = 8) participants got “good” and the rest 7.89% (n = 3) participants got “fair” outcomes. On the other hand, in analyzing the Rasmunssen radiological outcome we found, the highest number of participants got an “excellent” outcome which was more than 50% (n = 22). Besides these, 26.32% (n = 10) participants got “good”, 13.16% (n = 5) participants got “fair” and the rest 2.63% (n = 1) participants got “poor” outcomes. Conclusion: According to the findings of this study we can conclude that arthroscopic-assisted minimally invasive plate fixation of tibial plateau fractures may have a key role in the management of such fractures and is the treatment of choice for associated intra-articular pathology. Clinical and radiological evaluations of the patients were excellent in the large majority of the patients, and poor evaluation was non-existant at clinical evaluation. Radialogical evaluation was unsatisfactory for only a small number of patients. J Curr Surg. 2021;11(4):82-86 doi: https://doi.org/10.14740/jcs448
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».