ABSTRACT
Objective To investigate the clinical efficacy of posterior anti‐rotation plate plus cancellous screws for treating unicondylar Hoffa fracture and to systematically analyze its injury mechanism ,clinical diagnosis ,treatment method and clinical fol‐low up results .Methods The imageological and clinical data in 9 cases of unicondylar Hoffa fractures treated by anti‐rotation plate plus cancellous screws from March 2009 to April 2014 were retrospectively analyzed .Results All fractures were healed within 4 months .The average follow up time of the patients was 34 months(24~50 months) .Seven cases obtained the anatomic reduction and 2 cases got the satisfactory reduction .The reduction loss and fixation failure were not found in all the cases .One cases of wound infection occurred early after operation and healed within 1 week after anti-infection .One case of knee joint ankylosis complicating pain occurred during the follow up period .According to the KSSs scoring standard ,the knee joint prognosis function scores were ex‐cellent in 4 cases ,good in 4 cases and poor in 1 case .Conclusion Using anti‐rotation plate combined with cancellous screws for con‐ducting the Hoffa fracture fixation can confront the strong shear force beard by femoral condyle with the advantages of rigid fixa‐tion ,reliability fixation and early weight bearing functional exercise .
ABSTRACT
Background: Improvements in surgical techniques and implants, has favoured a trend towards surgical managements like Percutaneous fixation of tibial plateau fractures by cannulated cancellous screws .These minimally invasive techniques are being developed and utilized in all branches of surgery. The advantages of reduced morbidity and decreased hospital stay are well documented However success of the surgical management needs revaluation so the purpose of the current study is to evaluate percutaneous fixation of tibial plateau fractures by cannulated cancellous screws with respect to time required for fracture union in relation to type of fracture. Methodology: It is a prospective analytical study of 2 year duration. A total of 13 patients with tibial plateau fractures were selected and managed surgically. Patients were followed up at 2nd week, then 6th week, later 3rd month & 6 months and 12 and annually thereafter. Average period of radiological union was noted for Type I fracture & other types of fractures. Results: In all cases fracture united within 14 weeks. Average period of radiological union was 12 weeks. Type I fracture required less time (Avg. 10.6 weeks) for union than other types of fractures. Conclusion: Percutaneous fixation of tibial plateau fractures by cannulated cancellous screws fairly reasonable treatment alternative for minimal time required for fracture union and hence functional outcome and hence functional outcome.