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SM ISO690:2012 MADAN, Vadim, CROITOR, Gheorghe, CAPROŞ, Nicolae, HÎNCOTA, Dumitru, VACULA, Ion, GLAVAN, Alina. Posterior approach in surgical treatment of tibial plateau fractures. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 372. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 372-372 | ||||||
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Background. Tibial plateau fractures represent approximately 1% of the total fractures in the general population and 8% among the senile age population. Objective of the study. Analysis of the results of surgical treatment of patients with tibial plateau fractures in which the posterior approach was performed isolated or associated with other surgical approaches in the orthopedic and traumatology clinic „V. Bețișor” during 2014-2020. Material and Methods. We analyzed 25 clinical cases: 15 women, 10 men. According to the Schatzker classification, type IV-5, V-13, VI-7 were determined, all were closed, and the fracture of the posterior column was present in all of them. In five cases only the posterior approach was performed, in the remaining 20 associated with the antero-lateral approach. Surgical treatment consisted of open reduction and internal osteosynthesis performed using at least one plate and screws. Results: Patients were evaluated clinically and imaging postoperatively, the functional result was assessed according to the Lysholm Knee Scoring Scale, obtaining an average result of 92 points. Bone healing was determined at an average period of 14 weeks. Mild postoperative complications developed in three patients. The results were dependent on the quality of the reduction, the stability of the osteosynthesis, the precocity, and the correctness of the functional recovery and the compliance of the patients. Conclusion: The posterior approach is considered the best choice in cases of tibial plateau fractures with involvement of the posterior column, as it allows qualitative reduction, stable osteosynthesis, early and correct functional recovery. |
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Cuvinte-cheie fracture, tibial plateau, posterior approach, fractură, platou tibial, abord posterior |
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