title: Treatment of tibial plateau fractures with high strength injectable calcium sulphate.
abstract: 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.
authors.affiliation: Department of Orthopaedics, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China. doctorybq@yahoo.com.cn
authors.forename: Baoqing
authors.initials: B
authors.lastname: Yu
authors.forename: Kaiwei
authors.initials: K
authors.lastname: Han
authors.forename: Hui
authors.initials: H
authors.lastname: Ma
authors.forename: Chuncai
authors.initials: C
authors.lastname: Zhang
authors.forename: Jiachan
authors.initials: J
authors.lastname: Su
authors.forename: Jie
authors.initials: J
authors.lastname: Zhao
authors.forename: Jingfeng
authors.initials: J
authors.lastname: Li
authors.forename: Yushu
authors.initials: Y
authors.lastname: Bai
authors.forename: Hao
authors.initials: H
authors.lastname: Tang
mesh_terms: 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
chemical_list: D002133:Calcium Sulfate