Arthroscopic-Assisted and Minimally Invasive Plate Osteosynthesis of Tibial Plateau Fractures
Bibliographic record
Abstract
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
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".