Digital virtual reduction combined with individualized guide plate of lateral tibial condyle osteotomy for the treatment of tibial plateau fracture

Article type: Research Article

Authors: Huang, Yucheng | Ma, Xuan | Wu, Shilei | Chen, Ming | Wang, Junwen | Jiao, Jing^*

Affiliations: Department of Orthopaedics, Wuhan Fourth Hospital, Wuhan, China

Correspondence: [*] Corresponding author: Jing Jiao. Department of Orthopaedics, Wuhan Fourth Hospital, Wuhan 430033, China. E-mail: realzebra@163.com.

Abstract: BACKGROUND: Current treatments do not support direct exposure of fracture fragments, resulting in the inability to directly observe the articular surface during surgery for accurate reduction and firm fixation. OBJECTIVE: The aim of the study was to explore the treatment effect of digital virtual reduction combined with individualized guide plate of lateral tibial condyle osteotomy on tibial plateau fracture involving the lateral posterior condyle collapse. METHODS: 41 patients with tibial plateau fracture involving the lateral posterior condyle collapse were recruited in the trial. All patients underwent Computed Tomography (CT) scanning before operation. After operation, fracture reduction was evaluated using Rasmussen score and function of knee joint was assessed using hospital for special surgery (HSS) score. RESULTS: 41 patients were followed-up 6–26 months (mean, 15.2 months). Fracture reduction was good after operation, with an average of 13.3 weeks of fracture healing without serious complications. The excellent and good rate was 97.6%. The joint movement degree was -5∘∼0∘∼135∘ with an average of 125.5∘. CONCLUSIONS: Digital virtual reduction combined with individualized guide plate of lateral tibial condyle osteotomy was effectively for treating tibial plateau fracture involving the lateral posterior condyle collapse.

Keywords: 3D printing, tibial fracture, osteotomy, fracture fixation

DOI: 10.3233/THC-240704

Journal: Technology and Health Care, vol. Pre-press, no. Pre-press, pp. 1-13, 2024