Percutaneous cement augmentation for the treatment of depression fractures of the tibial plateau

Evangelopoulos, DS; Heitkemper, S; Eggli, S; Haupt, U; Exadaktylos, AK; Benneker, LM (2010). Percutaneous cement augmentation for the treatment of depression fractures of the tibial plateau. Knee surgery, sports traumatology, arthroscopy, 18(7), pp. 911-5. Heidelberg: Springer-Verlag 10.1007/s00167-009-1003-x

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The management of insufficiency fractures of the tibial plateau in osteoporotic patients can be very challenging, since it is difficult to achieve a stable fixation, an essential condition for the patients' early mobilization. We present a minimally invasive technique for the treatment of proximal tibial plateau fractures, "tibiaplasty", using percutaneous polymethylmethacrylate augmentation. Five osteoporotic patients (7 fractures) with a non-traumatic insufficiency tibial plateau fracture were treated with this technique at the authors' institution from 2006 to 2008. The patients' median age was 79 (range 62-88) years. The intervention was performed percutaneously under general or spinal anesthesia; after the intervention, immediate full weight bearing was allowed. The technique was feasible in all patients and no complications related to the intervention were observed. All patients reported a relevant reduction in pain, were able to mobilize with full weight bearing and would undergo the operation again. No secondary loss of reduction or progression of arthrosis was observed in radiological controls; no revision surgery was required. Our initial results indicate that tibiaplasty is a good treatment option for the management of insufficiency in tibial plateau fractures in osteoporotic patients. The technique is minimally invasive, safe and allows immediate mobilization without restrictions. In our group of patients, we found excellent early to mid-term results.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Heitkemper, Sven; Eggli, Stefan; Haupt, Ulrich Rudolf; Exadaktylos, Aristomenis Konstantinos and Benneker, Lorin Michael

ISSN:

0942-2056

Publisher:

Springer-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:08

Last Modified:

26 Jun 2018 13:43

Publisher DOI:

10.1007/s00167-009-1003-x

PubMed ID:

20012938

Web of Science ID:

000278931500012

BORIS DOI:

10.7892/boris.741

URI:

https://boris.unibe.ch/id/eprint/741 (FactScience: 200665)

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