Treatment of tibial plateau fractures with high strength injectable calcium sulphate.
The aim of this article is to discuss the clinical efficacy of high strength injectable calcium sulphate (MIIGX3) in the treatment of tibial plateau fractures. Thirty-one patients with tibial plateau fractures treated with MIIGX3 were included. Postoperative radiographic study was used to evaluate congruity of the articular surface, bone regrowth, and the absorption process of MIIGX3. Rasmussen's score system was adapted for the postoperative knee function recovery assessment. Twenty-eight of 31 patients were followed-up successfully with an average follow-up length of 14.6 months. Complete fracture healing was found in all patients. Complications included wound exudation and articular subsidence. Postoperative knee function was good according to Rasmussen's score system. Six months after surgery, radiographs demonstrated equivalent bone density in the previous area of MIIGX3 as that of surrounding cancellous bone. The use of MIIGX3 in the treatment of tibial plateau fractures provides adequate intraoperative stability and improves the safety of early knee motion.
Yu
Baoqing
B
Department of Orthopaedics, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China. doctorybq@yahoo.com.cn
Han
Kaiwei
K
Ma
Hui
H
Zhang
Chuncai
C
Su
Jiachan
J
Zhao
Jie
J
Li
Jingfeng
J
Bai
Yushu
Y
Tang
Hao
H
D000328:Adult; D000368:Aged; D001696:Biomechanical Phenomena; D001863:Bone Screws; D002133:Calcium Sulfate / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D007270:Injections, Intra-Articular; D007593:Joint Instability / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016474:Weight-Bearing / Q000502:physiology
D002133:Calcium Sulfate