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- W2383474307 abstract "Objective To investigate the optimal timing and preferable procedure options for complicated tibial plateau fractures(Schatzker classification Ⅴ and Ⅵ).Methods A total of 105 patients with Schatzker classification V and VI tibial plateau fractures were included in this series.They were subject to an emergent or elective surgical intervention with procedures including: ① one plating via anterolateral incision(group A,26 cases);② dual plating via anterolateral and posteromedial incisions(group B,27 cases);③dual plating via single midline incision(group C,30 cases);④dual plating via combined anterior and posterior approaches(group D,6 cases);⑤ hybrid external fixation via close reduction/ a minimal incision(group E,16 cases).Results A postoperative follow-up of 26~110 months(mean: 36.5 months) was performed.For the possible relationship between surgical timing and incidence of wound-associated complications,this incidence was 58.3%,45.5%,13.3%,2.4% and 33.3%.The intraoperative mean blood loss was:(265.7±125.0)ml,(373.7±137.3)ml,(308.4±120.5)ml,(461.7±90.4)ml and(95.6±31.6)ml.The failure rate of fixation was 23.1%,3.7%,3.3%,0% and 25%.The acceptable function rate of the five procedures was 76.9%,85.1%,93.3%,100% and 68.8% respectively.Conclusion The optimized surgical timing at 6~8 days after traumatic injury as a result of subsided soft tissue swelling and optimally emerged skin wrinkles may minimize the surgical wound complications.Flexible and reasonable application of multiple procedures may contribute to the effective treatment of a complicated tibial plateau fracture." @default.
- W2383474307 created "2016-06-24" @default.
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- W2383474307 date "2013-01-01" @default.
- W2383474307 modified "2023-09-27" @default.
- W2383474307 title "Surgical timing, preferable procedure options and corresponding efficacy analysis for complicated tibial plateau fractures" @default.
- W2383474307 hasPublicationYear "2013" @default.
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