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 c...

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Bibliographic Details
Published in:International orthopaedics 2009-08, Vol.33 (4), p.1127-1133
Main Authors: Yu, Baoqing, Han, Kaiwei, Ma, Hui, Zhang, Chuncai, Su, Jiachan, Zhao, Jie, Li, Jingfeng, Bai, Yushu, Tang, Hao
Format: Article
Language:English
Subjects:
Adult
Aged
Biomechanical Phenomena
Bone (cancellous)
Bone density
Bone healing
Bone Screws
Bone surgery
Calcium
Calcium Sulfate - administration & dosage
Calcium Sulfate - therapeutic use
Female
Follow-Up Studies
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Fractures
Humans
Injections, Intra-Articular
Joint Instability - prevention & control
Knee
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Orthopedics
Radiography
Subsidence
Tibial Fractures - diagnostic imaging
Tibial Fractures - physiopathology
Tibial Fractures - surgery
Weight-Bearing - physiology
Wounds
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Summary: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.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-008-0611-2