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Date Published: 24/03/2023
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DOI: https://doi.org/10.51298/vmj.v524i1B.4719
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Vol. 524 No. 1B (2023)
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Nguyễn, Đức T. ., & Hoàng, G. D. . (2023). OUTCOMES OF ARTHROSCOPIC-ASSISTED AND MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS IN THE TREATMENT OF CLOSED TIBIAL PLATEAU FRACTURES. Vietnam Medical Journal, 524(1B). https://doi.org/10.51298/vmj.v524i1B.4719

OUTCOMES OF ARTHROSCOPIC-ASSISTED AND MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS IN THE TREATMENT OF CLOSED TIBIAL PLATEAU FRACTURES

Đức Tuyền Nguyễn1, Gia Du Hoàng1,
1 Bach Mai hospital

Main Article Content

Abstract

Background: Tibial Plateau Fracture is a challenge for orthopedic surgeons because of the severity of the bone damage and the surrounding soft tissue injuries. Material and methods: a cross-sectional descriptive study, combining retrospective and prospective 23 cases of closed tibial plateau fractures diagnosed by clinical examination, X-ray images and prior computerized tomography scan (Schatzker I-VI) was treated with Arthroscopic-Assisted and Minimally Invasive Plate Osteosynthesis from March 2019 to April 2022 at the Orthopaedic and spine department, Bach Mai Hospital. Surgical results were assessed at 1 month & 6 months postoperatively by clinical and radiological Rasmunssen score, complications and side-effect (incision, paresthesia, compartment syndrome,…). Results: the Rasmunssen score increased significantly with the mean score before surgery was 9.65 ± 1.85 to 26.57 ± 2.17 after 6 months (p<0.001), X-ray: before surgery, the average Rasmunssen X-ray score was 6. ± 1.81 significantly increased to 16.13 ± 3.08 after 6 months of treatment. Complications: incision to be found in 1 patient (4.35%), paresthesia in the upper leg was seen in 5 patients (21.74%). Conclusion: Arthroscopic-Assisted and Minimally Invasive Plate Osteosynthesis for the treatment of closed tibial plateau fractures has positive results with the ability to detect and treat concomitant lesions. The patient's clinical and radiological status has improved clearly with statistical significance (p<0.001) when comparing between 6 months after surgery and preoperative time.

Article Details

Keywords

Tibial Plateau Fracture, Minimally Invasive Plate Osteosynthesis, Arthroscopic-Assisted orthopaedic.

References

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