Abstract
Thirty-six tibial plateau fractures in 35 patients were treated with the less invasive stabilisation system (LISS). Patients’ mean age was 42 years. There were 27 type C fractures and nine type B fractures according to AO/OTA classification. The average time to healing was 4.2 months (3–7 months). Deep infection developed in two cases. One patient healed in 6° of varus, and seven patients had an increased articular angulation of 6° (4–8°) in the sagittal plane. There were no cases of loss of reduction, non-union, or deep vein thrombosis. The LISS system could be considered for the management of tibial plateau fractures.
Résumé
36 fractures du plateau tibial chez 35 patients, âgés en moyenne de 42 ans, étaient traitées avec le système peu invasif (LISS). IL y avaient 27 fractures de type C et 9 de type B selon la classification AO/OTA. Le temps moyen de consolidation était de 4,2 mois (3–7). Il y avait 2 infections profondes. Un patient était consolidé avec 6° de varus et 7 patients avaient une augmentation de l’angulation articulaire sagittale de 6° (4–8). Il n’y avait pas de cas de perte de réduction, de non consolidation, ou de thrombose veineuse profonde. Le système LISS peut être considéré comme un traitement fiable des fractures du plateau tibial.
Similar content being viewed by others
References
Andrews JR, Tedder JL, Godbout BP (1992) Bicondylar tibial plateau fracture complicated by compartment syndrome. Orthop Rev 3:317–319
Blake R, Watson JT, Morandi M (1993) Treatment of complex tibial plateau fractures with the Ilizarov external fixator. J Orthop Trauma 7:167–168
Blokker CP, Rorabeck CH, Bourne RB (1983) Tibial plateau fractures. An analysis of the results of treatment in 60 patients. Clin Orthop 182:193–199
Cole PA, Zlowodzki M, Kregor PJ (2004) Treatment of proximal tibia fractures using the less invasive stabilization system: surgical experience and early clinical results in 77 fractures. J Orthop Trauma 18:528–535
El Barbary H, Abdel Ghani H, Misbah H, Salem K (2005) Complex tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation. Int Orthop 29:182–185
Georgiadis GM, Gove NK, Smith AD, Rodway IP (2004) Removal of the less invasive stabilization system. J Orthop Trauma 18:562–564
Gosling T, Schandelmaier P, Marti A, Hufner T, Partenheimer A, Krettek C (2004) Less invasive stabilization of complex tibial plateau fractures: a biomechanical evaluation of a unilateral locked screw plate and double plating. J Orthop Trauma 18:546–551
King GJW, Schatzker J (1991) Case report. Nonunion of a complex tibial plateau fracture. J Orthop Trauma 2:209–212
Krettek C, Gerich T, Miclau T (2001) A minimally invasive medial approach for proximal tibial fractures. Injury 32(S3):4–13
Mallik AR, Covall DJ, Whitelaw GP (1993) Internal versus external fixation of bicondylar tibial plateau fractures. Orthop Rev 21:1433–1436
Morgan SJ, Jeray KJ (2001) Minimally invasive plate osteosynthesis in fractures of the tibia. Op Tech Orthop 3:195–204
Schutz M, Kaab MJ, Haas N (2003) Stabilization of proximal tibial fractures with the LIS-system: early clinical experience in Berlin. Injury 34(S1):30–35
Smith WR, Shrank JR (2001) Tibial plateau fractures: minimally invasive fracture techniques. Op Tech Orthop 3:195–204
Stannard JP, Wilson TC, Volgas DA, Alonso JE (2004) The less invasive stabilization system in the treatment of complex fractures of the tibial plateau: short-term results. J Orthop Trauma 18:552–558
Stokel EA, Sadesivan KK (1991) Tibial plateau fractures standardized evaluation of operative results. Orthopedics 14:263–270
Tscherne H, Lobenhoffer P (1993) Tibial plateau fractures. Management and expected results. Clin Orthop 292:87–100
Waddell JP, Johnston DWC, Neidre A (1981) Fractures of the tibial plateau: a review of ninety-five patients and comparison of treatment methods. J Trauma 21:376–380
Weiner LS, Kelley M, Yang E, Steuer J, Watnick N, Evans M, Bergman M (1995) The use of combination internal fixation and hybrid external fixation in severe proximal tibia fractures. J Orthop Trauma 9:244–250
Young MJ, Barrack RL (1994) Complications of internal fixation of tibial plateau fractures. Orthop Rev 23:149–154
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lee, J.A., Papadakis, S.A., Moon, C. et al. Tibial plateau fractures treated with the less invasive stabilisation system. International Orthopaedics (SICOT) 31, 415–418 (2007). https://doi.org/10.1007/s00264-006-0176-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-006-0176-x