Open reduction and internal fixation in a one-stage anterior cruciate ligament reconstruction surgery for the treatment of tibial plateau fractures: A case report and literature review

Treatment of tibial plateau fractures associated with anterior cruciate ligament (ACL) injuries can be challenging. Maintaining the joint surface and axis are two main principles for the management of patients with tibial plateau fractures. Herein, we describe a patient with tibial plateau fracture...

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Bibliographic Details
Published in:Injury 2018-06, Vol.49 (6), p.1215-1219
Main Authors: Wang, Yiqun, Wang, Lianyou, Zhu, Tongtong, Liu, Zhongguo, Liu, Guangyao
Format: Article
Language:English
Subjects:
Adult
Anterior Cruciate Ligament Injuries - diagnostic imaging
Anterior Cruciate Ligament Injuries - physiopathology
Anterior Cruciate Ligament Injuries - surgery
Anterior cruciate ligament injury
Anterior Cruciate Ligament Reconstruction
Humans
Knee Injuries - diagnostic imaging
Knee Injuries - physiopathology
Knee Injuries - surgery
Knee Joint - diagnostic imaging
Knee Joint - physiopathology
Male
Middle Aged
Open Fracture Reduction
ORIF
Radiography
Range of Motion, Articular
Tibial Fractures - diagnostic imaging
Tibial Fractures - physiopathology
Tibial Fractures - surgery
Tibial plateau fracture
Treatment Outcome
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Summary:Treatment of tibial plateau fractures associated with anterior cruciate ligament (ACL) injuries can be challenging. Maintaining the joint surface and axis are two main principles for the management of patients with tibial plateau fractures. Herein, we describe a patient with tibial plateau fracture of Schatzker type VI associated with complete ACL rupture. Although in a two-stage reconstruction surgery for treatment of its rupture seem to be accepted by most orthopaedic surgeons in cases of ACL injuries, we treated our patient with ORIF in a one-stage ACL reconstruction surgery. At the 1-year follow-up, the patient gained full range of motion and was functioning well. We reviewed the literature on performing ORIF in a one-stage ACL reconstruction for the treatment of tibial plateau fractures, which seemed to be a reasonable management approach that supported its use for the treatment of this patient.
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2018.03.015