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384091

Evaluation of Subchondral Raft Construction without Bone Graft for Management of Split-Depression Tibial Plateau Fractures

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Last updated: 03 Jan 2025

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Abstract

Background: Split-depression tibial plateau fractures constitute the most prevalent type of tibial injury, accounting for twenty-five to thirty-three percent of all tibial plateau fractures. Utilizing a Kirschner wire, the subchondral raft technique is a well-known method for resisting depression and loss of reduction. Objectives: To assess the radiological and functional finding of split-depression tibial plateau fractures treated via subchondral raft screws combined with locking plates without bone graft and to describe the advantages and disadvantages of this technique. Patients and methods: This study was a prospective interventional that was performed on twenty-five cases aged between 18-60 years old of both sexes who had split-depression fractures of tibial plateau, admitted, and operated upon in Orthopedic Department of Suez Canal University Hospital (SCUH), Ismailia, Egypt. Results: There wasn't statistically significant variance among the study population regarding age, gender, residency, comorbidities, flexion contracture, extension leg and range of flexion and Rasmussen radiological score at 2, 6 and 12 weeks follow up after the surgery, and complications. There was statistically significant improvement in the pain score among the study population with the follow up. There was statistically significant change in the depression score at 2, 6 and 12 weeks follow up after the surgery. Conclusion: One of the best ways to fix split-depression and isolated depression tibial plateau fractures is with a periarticular rafting screw, which doesn't need bone grafts or bone replacements. This can be done during open reduction and internal fixation.  

DOI

10.21608/ejhm.2024.384091

Keywords

Subchondral Raft Construction, bone graft, Split-Depression Tibial Plateau Fractures

Volume

97

Article Issue

1

Related Issue

50804

Issue Date

2024-10-01

Receive Date

2024-10-05

Publish Date

2024-10-01

Page Start

3,529

Page End

3,535

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_384091.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=384091

Order

17

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of Subchondral Raft Construction without Bone Graft for Management of Split-Depression Tibial Plateau Fractures

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Article

Created At

24 Dec 2024