دورية أكاديمية

[Translated article] The use of arthroscopy does not increase the incidence of complications in the management of Schatzker IV-VI tibial plateau fractures.

التفاصيل البيبلوغرافية
العنوان: [Translated article] The use of arthroscopy does not increase the incidence of complications in the management of Schatzker IV-VI tibial plateau fractures.
المؤلفون: Franulic N; Traumatología Equipo Rodilla, Hospital del Trabajador ACHS, Santiago, Chile; Traumatología Equipo Rodilla, Hospital Militar de Santiago, Santiago, Chile. Electronic address: nicofranulic02@gmail.com., Brito C; Traumatología General, Universidad de los Andes, Santiago, Chile., Del Pino C; Traumatología General, Universidad Andrés Bello, Santiago, Chile., Laso J; Traumatología Equipo Rodilla, Hospital del Trabajador ACHS, Santiago, Chile; Traumatología Equipo Rodilla, Hospital Barros Luco Trudeau, Santiago, Chile., Rojas C; Traumatología Equipo Rodilla, Hospital del Trabajador ACHS, Santiago, Chile., Olivieri R; Traumatología Equipo Rodilla, Hospital del Trabajador ACHS, Santiago, Chile., Gaggero N; Traumatología Equipo Rodilla, Hospital del Trabajador ACHS, Santiago, Chile.
المصدر: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2023 Jul-Aug; Vol. 67 (4), pp. T290-T296. Date of Electronic Publication: 2023 Mar 20.
نوع المنشور: Journal Article
اللغة: English; Spanish; Castilian
بيانات الدورية: Publisher: Elsevier Doyma Country of Publication: Spain NLM ID: 101477399 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1988-8856 (Electronic) Linking ISSN: 18884415 NLM ISO Abbreviation: Rev Esp Cir Ortop Traumatol Subsets: PubMed not MEDLINE; MEDLINE
أسماء مطبوعة: Original Publication: Barcelona : Elsevier Doyma
مستخلص: Background and Objective: The use of arthroscopy for tibial plateau fractures type I, II and III according to Schatzker classification has increased, yet its employment for tibial plateau fractures Schatzker IV, V and VI is controversial due to the potential risk of compartment syndrome, deep vein thrombosis and infection. We aimed to compare the rate of operative and postoperative complications among patients with these types of tibial plateau fractures treated with and without arthroscopy at the time of definitive reduction and osteosynthesis.
Methods: Retrospective cohort study. Patients with diagnosis of tibial plateau fracture Schatzker IV, V or VI who underwent reduction and definitive osteosynthesis with or without the use of arthroscopy were included. The development of compartment syndrome, deep vein thrombosis, and fracture-related infection was evaluated up to 12 months after the definitive surgery.
Results: Two hundred eighty-eight patients were included: 86 with arthroscopic assistance and 202 without it. The overall complication rate in the group with and without arthroscopic assistance was 18.60% and 26.73%, respectively (p=.141). No statistical association was found between the use of arthroscopic assistance and the development of the analysed complications.
Discussion and Conclusion: The use of arthroscopy to support reduction or addressing concomitant intra-articular injuries did not increase the risk of complications in patients with high-energy tibial plateau fractures at 12 months of follow up.
(Copyright © 2023 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Arthroscopically assisted reduction; Artroscopia de rodilla; Compartment syndrome; Deep venous thrombosis; Fractura de mesetas tibiales; Fracture related infection; Infección relacionada a fractura; Knee arthroscopy; Reducción con asistencia artroscópica; Síndrome compartimental; Tibial plateau fractures; Trombosis venosa profunda
تواريخ الأحداث: Date Created: 20230320 Latest Revision: 20231031
رمز التحديث: 20240628
DOI: 10.1016/j.recot.2023.01.006
PMID: 36940845
قاعدة البيانات: MEDLINE
الوصف
تدمد:1988-8856
DOI:10.1016/j.recot.2023.01.006