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Articolul urmator |
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Ultima descărcare din IBN: 2024-03-17 17:51 |
SM ISO690:2012 MADAN, Vadim, CROITOR, Gheorghe, CAPROŞ, Nicolae, GLAVAN, Alina, GUZUN, Andrei, VACULA, Ion. Tratamentul chirurgical al fracturilor intraarticulare de platou tibial. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 513. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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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. Most of them are caused by road accidents and catatraumatisms, 90% of them being associated with different degrees of soft tissue injuries. Objective of the study. Analysis of methods and results of surgical treatment of patients with intraarticular tibial plateau fractures treated in the orthopedics and traumatology clinic "Vitalie Bețișor" during 20142019. Material and Methods. We analyzed 110 clinical cases: 60 women, 50 men. The classification of fractures according to Schatzker was used: of which type I-10 cases, II-30, III-15, IV-10, V-30, VI15, out of all 105 were closed and only 5 open. Surgical treatment consisted of closed reduction in 15 cases: osteosynthesis with screws-10, external fixator-5 and open reduction with internal osteosynthesis in 95 cases. Results. Patients were evaluated clinically and imaging at a period of 6, 12, 18, 24 weeks postoperatively, the functional result was assessed according to the Lysholm Knee Scoring Scale, obtaining an average result of 88 points. Bone healing was determined between 12 and 18 weeks. Various postoperative complications developed in 17 patients. The results were dependent on the approaches, the surgical techniques used, the type, the stability of the osteosynthesis, the precocity, the correctness of the functional recovery and the compliance of the patients. Conclusion. Favorable results, easier and fewer complications were observed in cases of individual approach to surgical treatment, optimal choice of approaches, less invasive surgical techniques, implants, stable osteosynthesis, early and correct functional recovery. |
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Cuvinte-cheie fracture, tibial plateau, treatment, ractură, platou tibial, Tratament |
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