Surgical Technique of Anterolateral Approach for Tibial Plateau Fracture.

Abstract:

:A 66-year-old woman had sustained crush injury 3 hours prior to her presentation to our hospital. The diagnosis was defined as lateral tibial plateau fracture of the right knee (Schatzker III). Supine position was set up and a pad was put under the affected hip. After sterilization of the surgical field the sterilized sheets were placed beneath the leg in order to be higher than the other side. A rolled sheet was put under the knee joint so that the knee joint was flexed around 30° to 40°. After the surgical field was draped the skin was incised. Iliotibial band was incised by blade (not by electrotomy) and sharp dissection was performed in the Gerdy's tubercle. Capsulotomy was made by cutting the tibial meniscal ligament. Then the meniscus was tagged superiorly and the articular surface was clearly visualized. A window was made in the lateral cortex beneath the plateau, so the impacted fragment was elevated through the window. The metaphyseal void was filled by bone allograft. The placement of the raft-screw plate must be ensured that the raft screws passing the plate could purchase the subchondral bone. After perfect placement of the plate was defined, the femoral distractor was removed and the knee joint was relaxed. It was ensured that the alignment of the lower leg was normal, and then the other screws were inserted. Following placing drainage in the wound the iliotibial band was closed and the subcutaneous soft tissue and skin were closed in layer.

journal_name

Orthop Surg

journal_title

Orthopaedic surgery

authors

Wang PC,Ren D,Zhou B

doi

10.1111/os.12205

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

368-70

issue

4

eissn

1757-7853

issn

1757-7861

journal_volume

7

pub_type

杂志文章
  • Effect of Patellar Denervation on Anterior Knee Pain and Knee Function in Total Knee Arthroplasty without Patellar Resurfacing: A Meta-Analysis of Randomized Controlled Trials.

    abstract:OBJECTIVE:The aim of the present study was to evaluate the effect of patellar denervation (PD) in preventing anterior knee pain (AKP) and improving knee function after total knee arthroplasty (TKA) without patellar resurfacing, and to help surgeons decide whether or not to use PD in TKA. METHODS:The electronic databas...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12815

    authors: Wang Y,Feng W,Zang J,Gao H

    更新日期:2020-12-01 00:00:00

  • Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review.

    abstract:BACKGROUND:The arcuate foramen is a complete or partial bony bridge over the vertebral artery groove of atlas. The mechanism of the arcuate foramen is not clearly understood. Omission of the arcuate foramen sometimes causes lethal iatrogenic injury during spinal surgery. CASE PRESENTATION:We describe a patient who was...

    journal_title:Orthopaedic surgery

    pub_type:

    doi:10.1111/os.12868

    authors: Wang WH,Liu ZY,Guo HC,Wang H

    更新日期:2020-12-03 00:00:00

  • Surgical Experience and Complications in 50 Patients Treated with an Anular Closure Device Following Lumbar Discectomy.

    abstract:OBJECTIVE:To examine the results of an anular closure device for prevention of lumbar disc reherniation in daily routine practice. METHODS:Fifty patients with large anular defects were treated with limited discectomy and a bone-anchored anular closure device. The device physically occludes the defect in the anulus fib...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12495

    authors: Ardeshiri A,Miller LE,Synowitz M,Jadik S

    更新日期:2019-06-01 00:00:00

  • Pedicle length and degree of slip in lumbosacral isthmic spondylolisthesis.

    abstract:OBJECTIVE:The present retrospective study was performed to assess the anatomical features of the pedicle in isthmic spondylolisthesis and to correlate this with degree of slip. METHODS:Twenty-six patients with isthmic spondylolytic spondylolisthesis were studied. Relevant patient variables, length, width, height of th...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12173

    authors: Matthews PG,Phan K,Rao PJ,Ball JR

    更新日期:2015-05-01 00:00:00

  • Current concepts in the treatment of gouty arthritis.

    abstract::Gouty arthritis is an extremely painful condition that causes functional impairment. Gouty arthritis has become increasingly complex because of multiple comorbidities, iatrogenic factors and hyperuricemia that is refractory to treatment. In this review, we present a general overview of gouty arthritis including its pa...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章,评审

    doi:10.1111/os.12024

    authors: Fang ZH,Waizy H

    更新日期:2013-02-01 00:00:00

  • Anatomy and Imaging Studies on Cortical Bone Screw Freehand Placement Applying Anatomical Targeting Technology.

    abstract:OBJECTIVES:A series of constant anatomical structures were used as guide targets for screw placement to improve the accuracy of cortical screw placement and reduce surgical injury and fluoroscopy radiation. The most commonly used angles and distances between the cortical bone screw insertion point and the lateral margi...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12775

    authors: Rexiti P,Aierken A,Sadeer A,Wang S,Abuduwali N,Deng Q,Sheng WB,Guo HL

    更新日期:2020-12-01 00:00:00

  • Relationship between the location of ligamentum flavum hypertrophy and its stress in finite element analysis.

    abstract:OBJECTIVE:To quantitatively describe the stress of the ligamentum flavum (LF) using the finite element method and to compare the stress at different parts of the healthy LF. METHODS:Based on the high resolution computed tomography imaging data of a healthy 22-year-old man, three-dimensional nonlinear L4-5 lumbar finit...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12675

    authors: Peng YX,Zheng ZY,Wang Md WG,Liu L,Chen Md F,Xu Md HT,Zhang ZM

    更新日期:2020-06-01 00:00:00

  • Treatment of lumbar and lumbosacral spinal tuberculosis with minimally invasive surgery.

    abstract:OBJECTIVE:To evaluate the outcome of computed tomography (CT)-guided percutaneous puncture and local chemotherapy for tuberculosis (TB) of the lumbar or lumbosacral spine. METHODS:From January 2002 to August 2006, 49 patients with lumbar or lumbosacral spinal TB in whom conservative treatment had failed were treated b...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/j.1757-7861.2009.00060.x

    authors: Zhang XF,Wang Y,Xiao SH,Liu ZS,Zhang YG,Liu BW,Xia ZM

    更新日期:2010-02-01 00:00:00

  • Isthmus-guided cortical bone trajectory for pedicle screw insertion.

    abstract::Herein is described cortical bone trajectory (CBT), a new path for pedicle screw insertion for lumbar vertebral fusion. Because the points of insertion are under the end of the inferior articular process, and because the screws are inserted toward the lateral side, there is less soft tissue development than with the c...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12122

    authors: Iwatsuki K,Yoshimine T,Ohnishi Y,Ninomiya K,Ohkawa T

    更新日期:2014-08-01 00:00:00

  • Evaluation of a Bi-Planar Robot Navigation System for Insertion of Cannulated Screws in Femoral Neck Fractures.

    abstract:OBJECTIVE:To evaluate the bi-planar robot navigation system for insertion of cannulated screws in femoral neck fractures. METHOD:Between January 2016 and December 2016, 60 patients with femoral neck fractures were separately treated using percutaneous cannulated screws assisted by the bi-planar robot navigation system...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12450

    authors: He M,Han W,Zhao CP,Su YG,Zhou L,Wu XB,Wang JQ

    更新日期:2019-06-01 00:00:00

  • Evaluation of Anterior Decompression Surgical Outcomes of Proximal-Type Cervical Spondylotic Amyotrophy: A Retrospective Study.

    abstract:OBJECTIVE:To investigate the efficiency of anterior decompression on the proximal-type cervical spondylotic amyotrophy patients. METHODS:This was a retrospective analysis. From January 2014 to November 2017, 21 patients with proximal-type cervical spondylotic amyotrophy (CSA) underwent anterior decompression. There we...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12654

    authors: Lu CB,Ma ZS,Hu JB,Yang XJ,Wei W,Zhang Y,Lei W

    更新日期:2020-06-01 00:00:00

  • Synergistic Effects of Kartogenin and Transforming Growth Factor-β3 on Chondrogenesis of Human Umbilical Cord Mesenchymal Stem Cells In Vitro.

    abstract:OBJECTIVE:To explore the effect of kartogenin (KGN) on proliferation and chondrogenic differentiation of human umbilical cord mesenchymal stem cells (hUCMSC) in vitro, and the synergistic effects of KGN and transforming growth factor (TGF)-β3 on hUCMSC. METHODS:Human umbilical cord mesenchymal stem cells were isolated...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12691

    authors: Zhao Y,Teng B,Sun X,Dong Y,Wang S,Hu Y,Wang Z,Ma X,Yang Q

    更新日期:2020-06-01 00:00:00

  • LncRNA-H19 Modulates Wnt/β-catenin Signaling by Targeting Dkk4 in Hindlimb Unloaded Rat.

    abstract:OBJECTIVE:To investigate the biological functions of long noncoding RNA-H19 (H19) in the pathogenesis of disuse osteoporosis (DOP). METHODS:Fifty-four male Sprague Dawley (SD) rats were randomly divided into three groups: baseline control (BC, 6), age-matched control (AC, 24), and hindlimb unloading (HLU, 24). The rat...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12321

    authors: Li B,Liu J,Zhao J,Ma JX,Jia HB,Zhang Y,Xing GS,Ma XL

    更新日期:2017-08-01 00:00:00

  • Clinical result of structural augmentation with cannulated bone screws for the treatment of osteonecrosis of the femoral head.

    abstract:OBJECTIVE:To evaluate the results of treatment of osteonecrosis of the femoral head by structural augmentation through a routine core decompression procedure combined with insertion of cannulated bone screws incorporating autogenous bone graft and biomaterial containing decalcified bone matrix. METHODS:From February 2...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/j.1757-7861.2008.00008.x

    authors: Yang SH,Fu DH,Yang C,Li J,Xu WH,Ye SN,Wu XH,Liu XZ

    更新日期:2009-02-01 00:00:00

  • A New Intraoperative Syndesmosis Instability Classification System: Utility and Medium-term Results in Closed Displaced Ankle Fractures.

    abstract:OBJECTIVE:To investigate the utility and medium-term results of a new intra-operative classification system for distal tibiofibular syndesmosis injury in ankle fractures. METHODS:Between January 2010 and January 2015, 116 patients diagnosed with displaced closed Weber B and C ankle fractures were treated in our depart...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12355

    authors: Qiu HB,Jiang J,Porter D

    更新日期:2017-11-01 00:00:00

  • Recurrence analysis in 66 cases with grade I and grade II chondrosarcomas in the extremities.

    abstract:OBJECTIVE:We analyzed chondrosarcomas in long bones to assess whether Grade I and II chondrosarcomas should both be grouped as low grade malignant tumors (musculoskeletal Tumor Society Stage I or Stage II), and to explore rational surgical treatment for Grade I and II chondrosarcomas. METHODS:We retrospectively review...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/j.1757-7861.2009.00020.x

    authors: Ma XJ,Dong Y,Zhang CL,Zeng BF

    更新日期:2009-05-01 00:00:00

  • Rare Occurrence of Acute Hematogenous Periprosthetic Joint Infection Due to Fusobacterium Nucleatum in the Background of a Dental Procedure: A Case Report.

    abstract:OBJECTIVE:Fusobacterium nucleatum is an anaerobic gram-negative bacilli that is one of the oral and other mucosal surface microbiota. It involves a wide range of human diseases and was first found in periodontal diseases, but reports of bone-related infections caused by F. nucleatum are rare, especially periprosthetic ...

    journal_title:Orthopaedic surgery

    pub_type:

    doi:10.1111/os.12844

    authors: Shi TB,Fang XY,Wang CX,Cai YQ,Li WB,Zhang WM

    更新日期:2020-12-01 00:00:00

  • Hip Replacement as Alternative to Intramedullary Nail in Elderly Patients with Unstable Intertrochanteric Fracture: A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVE:To evaluate the efficacy and safety of hip replacement and intramedullary nails for treating unstable intertrochanteric fractures in elderly patients. METHODS:Randomized clinical trials (RCTs) to compare hip replacement with intramedullary nail in the management of elderly patients with unstable intertrochan...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章,meta分析

    doi:10.1111/os.12532

    authors: Ju JB,Zhang PX,Jiang BG

    更新日期:2019-10-01 00:00:00

  • Hybrid technique for posterior lumbar interbody fusion: a combination of open decompression and percutaneous pedicle screw fixation.

    abstract::The authors describe a hybrid technique that involves a combination of open decompression and posterior lumbar interbody fusion (PLIF) and percutaneously inserted pedicle screws. This technique allows performance of PLIF and decompression via a midline incision and approach without compromising operative time and visu...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12042

    authors: Mobbs RJ,Sivabalan P,Li J,Wilson P,Rao PJ

    更新日期:2013-05-01 00:00:00

  • Prognostic Differences in Patients with Solitary and Multiple Spinal Metastases.

    abstract:OBJECTIVES:To investigate the association between the number of metastases to the spine and survival in patients with metastatic spinal cord compression (MSCC), as well as the prognosis difference between patients with solitary spinal metastasis (SSM) and multiple spinal metastases (MSM). METHODS:Three institutional d...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12470

    authors: Lun DX,Xu LN,Wang F,Yang XG,Yu XC,Zhang GC,Hu YC

    更新日期:2019-06-01 00:00:00

  • Retrospective Cohort Study Comparing Complications, Readmission, Transfusion, and Length of Stay of Patients Undergoing Simultaneous and Staged Bilateral Total Hip Arthroplasty.

    abstract:OBJECTIVES:To determine whether the rates of postoperative complications, rate of readmission, cumulative transfusion volume, and length of stay (LOS) differ between simultaneous total hip arthroplasty (THA) and staged bilateral THA and to assess whether the length of the interval between staged procedures influences s...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12617

    authors: Guo SJ,Shao HY,Huang Y,Yang DJ,Zheng HL,Zhou YX

    更新日期:2020-02-01 00:00:00

  • Comparison of Superior-Level Facet Joint Violations Between Robot-Assisted Percutaneous Pedicle Screw Placement and Conventional Open Fluoroscopic-Guided Pedicle Screw Placement.

    abstract:OBJECTIVE:To compare the superior-level facet joint violations (FJV) between robot-assisted (RA) percutaneous pedicle screw placement and conventional open fluoroscopic-guided (FG) pedicle screw placement in a prospective cohort study. METHODS:This was a prospective cohort study without randomization. One-hundred pati...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12534

    authors: Zhang Q,Xu YF,Tian W,Le XF,Liu B,Liu YJ,He D,Sun YQ,Yuan Q,Lang Z,Han XG

    更新日期:2019-10-01 00:00:00

  • Biomechanical Study on the Stress Distribution of the Knee Joint After Tibial Fracture Malunion with Residual Varus-Valgus Deformity.

    abstract:OBJECTIVE:To investigate the effect of residual varus and valgus deformity on the stress distribution of the knee joint after tibial fracture malunion. METHODS:Fourteen adult cadaver specimens were selected to establish the models of tibial fractures, which were fixed subsequently at neutral position (anatomical reduc...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12668

    authors: Li M,Chang H,Wei N,Chang W,Yan Y,Jin Z,Chen W

    更新日期:2020-06-01 00:00:00

  • Anchoring of a Kinked Uncemented Femoral Stem after Preparation with a Straight or a Kinked Reamer.

    abstract:OBJECTIVE:To investigate a stem-adjusted preparation of the femur with a kinked reamer and to determine whether this approach results in higher primary stability of a kinked stem than straight reaming of the intramedullary canal. METHODS:Ten cementless stems with a kinked design were implanted in synthetic femurs afte...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12490

    authors: Heinecke M,Layher F,Matziolis G

    更新日期:2019-08-01 00:00:00

  • Delay in Diagnosis and Its Effect on Clinical Outcome in High-grade Sarcoma of Bone: A Referral Oncological Centre Study.

    abstract:OBJECTIVE:To investigate delay in diagnosis by both patients and doctors, and to evaluate its effect on outcomes of high-grade sarcoma of bone in a single-referral oncological center. METHODS:Fifty-four patients with osteosarcoma, 29 with Ewing sarcoma and 19 with chondrosarcoma were enrolled in this retrospective stu...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12239

    authors: Goedhart LM,Gerbers JG,Ploegmakers JJ,Jutte PC

    更新日期:2016-05-01 00:00:00

  • Comparison of complications and results of early versus delayed surgery for Gartland type III supracondylar humeral fractures in pediatric patients.

    abstract:OBJECTIVE:To investigate the effect of timing of surgery on clinical results and perioperative complications in pediatric patients with Gartland III type supracondylar humeral fractures without neurovascular compromise. METHODS:Eighty-six consecutive children treated surgically at our hospital from April 2005 to June ...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/j.1757-7861.2011.00153.x

    authors: Han QL,Wang YH,Liu F

    更新日期:2011-11-01 00:00:00

  • Observational Study of Total Knee Arthroplasty in Aseptic Revision Surgery: Clinical Results.

    abstract:OBJECTIVE:To review the long-term clinical results after revision surgery and the relationship between the different clinical variables involved with a failed total knee arthroplasty (TKA) and its evolution to provide a better understanding of the current treatment methods. METHODS:The present study involved 89 subjec...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12593

    authors: Oliver G,Jaldin L,Camprubí E,Cortés G

    更新日期:2020-02-01 00:00:00

  • Finite element analysis of the screw in percutaneous axial lumbosacral interbody fusion.

    abstract:OBJECTIVE:To establish a three-dimensional finite element model of the L(5)/S(1) motion segment with percutaneous axial lumbosacral screw and analyze the biomechanical stress on the screw. METHODS:With the help of related software and the Mechanical Virtual Human of China, a three-dimensional finite element model was ...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/j.1757-7861.2010.00088.x

    authors: Xu HG,Yang XM,Wu TL,Wang H,Chen XW,Wang LT,Jin S,Liu P

    更新日期:2010-08-01 00:00:00

  • Surgical treatment of open pilon fractures.

    abstract:OBJECTIVE:To discuss the methods, timing and clinical outcomes of surgical treatment for open pilon fractures. METHODS:From April 2003 to July 2008, 28 patients with open pilon fractures were treated. All had type C fractures according to the Arbeitsgemeinschaft für osteosynthesefragen-Association for the Study of Int...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/j.1757-7861.2010.00113.x

    authors: Zeng XT,Pang GG,Ma BT,Mei XL,Sun X,Wang J,Jia P

    更新日期:2011-02-01 00:00:00

  • Management of Medial Collateral Ligament Insufficiency During Total Knee Arthroplasty with a Screw and Rectangular Spiked Washer: A Case Series of 14 Patients.

    abstract:OBJECTIVE:To describe the technique of primary repair of medial collateral ligament (MCL) insufficiency using a screw and rectangular spiked washer in a case series of 14 patients. METHODS:Fourteen patients undergoing MCL repair by a screw and rectangular spiked washer during TKA between March 2018 and March 2019 were...

    journal_title:Orthopaedic surgery

    pub_type: 杂志文章

    doi:10.1111/os.12818

    authors: Ni M,Sun JY,Fu J,Du YQ,Shen JM,Yang XX,Zhou YG,Zhang GQ,Chen JY

    更新日期:2020-12-01 00:00:00