Abstract

PEREIRA, Sebastián; VINDVER, Gabriel  and  BIDOLEGUI, Fernando. Tratamiento de las fracturas complejas de platillo tibial con compromiso de la tuberosidad anterior de la tibia. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2018, vol.83, n.4, pp.268-273. ISSN 1852-7434.

Introduction: Tibial plateau fractures are secondary to high-energy traumas. Sometimes, tibial tubercle is involved. Neither Schatzker nor AO/OTA classifications consider tibial tubercle involvement. The aim of this study was to describe the incidence and management of these fractures. Methods: A retrospective study was performed between 2009 and 2017. Ten out of 48 tibial plateau fractures treated with internal fixation during this period had tibial tubercle involvement. There were 7 men and 3 women, with a mean age of 33.5 years. Nine were initially treated with an external fixation. Tibial tubercle was fixed with two 3.5 mm screws in 9 patients and with a 1/3 tubular plate in only one. There was one open fracture. Minimum follow-up lasted 12 months. Results: All patients achieved bone consolidation. There were no infections. Achieved range of motion was 10º of extension (range 0-20º) and 120º of flexion (range 90-140º). In one patient it was necessary to withdraw the implant. One patient underwent knee athroscopy because of a meniscal injury. Conclusions: According to our series, tibial plateau fractures associate with tibial tubercle involvement in 20.8% of cases. Fixation with 3.5 mm screws or 1/3 tubular plate is a reliable option to treat tibial tubercle involvement.

Keywords : Tibial plateau fracture; Anterior tibial tubercle; Complex proximal tibial fracture.

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