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[Tibial plateau fracture--biodegradable bonecement-augmentation].

T Engel1, H Lill, J Korner

  • 1Klinik für Unfall- und Wiederherstellungschirurgie, Universität Leipzig.

Der Unfallchirurg
|March 8, 2003
PubMed
Summary

Injectable calcium phosphate cement shows promise for augmenting lateral tibial plateau fractures, offering shorter recovery times. This bone augmentation material provides good to excellent clinical and radiological outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Lateral tibial plateau fractures require surgical intervention for optimal outcomes.
  • Augmentation of metaphyseal defects is often necessary following fracture reduction.

Purpose of the Study:

  • To evaluate the efficacy of injectable calcium phosphate cement (Norian SRS) versus autologous bone grafting for augmenting lateral tibial plateau fractures.
  • To compare clinical and radiological outcomes, as well as postoperative treatment duration.

Main Methods:

  • Retrospective and prospective analysis of 29 patients with lateral tibial plateau fractures.
  • Surgical treatment involved arthroscopic or open reduction and internal fixation.
  • Metaphyseal defects were augmented with either autologous bone graft or Norian SRS, or left unaugmented.

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Main Results:

  • Good to excellent results were observed based on Lysholm scores and radiological assessment, irrespective of augmentation type.
  • The Norian SRS group demonstrated shorter postoperative treatment and partial weight-bearing durations compared to other groups.
  • No significant difference in outcomes was noted between autologous bone grafting and Norian SRS.

Conclusions:

  • Injectable calcium phosphate cement (Norian SRS) is a competent material for augmenting lateral tibial plateau fractures.
  • Its ease of application and initial mechanical stability contribute to favorable outcomes and potentially faster recovery.
  • Further research may solidify its role in orthopedic fracture management.