Lesional and Therapeutic Aspects of Tibial Plateau Fractures at the BSS University Hospital Center in Kati  

作　　者：Coulibaly Kalifa Sanogo Cheick Oumar Tambassi Sory Ibrahim Diallo Aboubacar Traoré Soumana Touré Laye Moussa Abdoul Kadri Diallo Mahamadou Diallo Cheickh Tidiane Keïta Mohamed Coulibaly Kalifa;Sanogo Cheick Oumar;Tambassi Sory Ibrahim;Diallo Aboubacar;Traoré Soumana;Touré Laye;Moussa Abdoul Kadri;Diallo Mahamadou;Diallo Cheickh Tidiane;Keïta Mohamed(Orthopaedic Trauma Department of the Kati University Hospital, Koulikoro, Mali;Orthopaedic Trauma Department, Sikasso Hospital, Sikasso, Mali;Orthopedic Trauma Department of Gabriel Touré University Hospital, Bamako, Mali)

机构地区：[1]Orthopaedic Trauma Department of the Kati University Hospital, Koulikoro, Mali [2]Orthopaedic Trauma Department, Sikasso Hospital, Sikasso, Mali [3]Orthopedic Trauma Department of Gabriel Touré University Hospital, Bamako, Mali

出　　处：《Surgical Science》2022年第10期471-479,共9页外科学（英文）

摘　　要：Introduction: Tibial plateau fractures are solutions of continuity of the epiphyseal-metaphyseal block of the upper end of the tibia of which at least one line enters the joint. They threaten the stability and mobility of the knee and can compromise walking and standing. These fractures are on the increase, especially affecting young and active subjects. Orthopedic treatment is a rare indication apart from non-displaced or slightly displaced forms. Surgical treatment is required in displaced forms, particularly in depression fractures. The aim of this work was to report the lesional and therapeutic aspects of tibial plateau fractures in our department. Patients and Method: Patients and method: This was a retrospective study over 36 months from January 2019 to December 2021. Included in this study were patients treated for a tibial plateau fracture in our department and followed up for at least 10 months. The epidemiological and clinical data analyzed were age, sex, affected side, etiology, mechanism of injury, pathological anatomy and associated lesions. The fractures were classified according to the classification of Duparc and Ficat. The slightly or non-displaced forms were treated orthopedically while the displaced forms were treated surgically. The minimum follow-up was 10 months. The results were evaluated by the anatomical criteria according to Mazas and Duparc and functional according to Merle d’Aubigné. Results: The authors collected 71 cases of tibial plateau fractures. They accounted for 4.0% of all limb fractures, 5.8% of lower limb fractures and 33.8% of knee fractures in our service. The male sex was the most represented at 78.9% with a sex ratio of 3.7. The age group of [20 - 40] years was the most affected, i.e., 53.5%. The average age was 41 years with extremes of 17 and 82 years. The left side was affected (n = 47) and the right side (n = 24). Road traffic accident was the main cause. The mechanism of injury was mainly represented by lateral and sagittal compressions. Lateral unituberosity andIntroduction: Tibial plateau fractures are solutions of continuity of the epiphyseal-metaphyseal block of the upper end of the tibia of which at least one line enters the joint. They threaten the stability and mobility of the knee and can compromise walking and standing. These fractures are on the increase, especially affecting young and active subjects. Orthopedic treatment is a rare indication apart from non-displaced or slightly displaced forms. Surgical treatment is required in displaced forms, particularly in depression fractures. The aim of this work was to report the lesional and therapeutic aspects of tibial plateau fractures in our department. Patients and Method: Patients and method: This was a retrospective study over 36 months from January 2019 to December 2021. Included in this study were patients treated for a tibial plateau fracture in our department and followed up for at least 10 months. The epidemiological and clinical data analyzed were age, sex, affected side, etiology, mechanism of injury, pathological anatomy and associated lesions. The fractures were classified according to the classification of Duparc and Ficat. The slightly or non-displaced forms were treated orthopedically while the displaced forms were treated surgically. The minimum follow-up was 10 months. The results were evaluated by the anatomical criteria according to Mazas and Duparc and functional according to Merle d’Aubigné. Results: The authors collected 71 cases of tibial plateau fractures. They accounted for 4.0% of all limb fractures, 5.8% of lower limb fractures and 33.8% of knee fractures in our service. The male sex was the most represented at 78.9% with a sex ratio of 3.7. The age group of [20 - 40] years was the most affected, i.e., 53.5%. The average age was 41 years with extremes of 17 and 82 years. The left side was affected (n = 47) and the right side (n = 24). Road traffic accident was the main cause. The mechanism of injury was mainly represented by lateral and sagittal compressions. Lateral unituberosity and

关 键 词：FRACTURES Tibial Plateau PATHOLOGY OSTEOSYNTHESIS 

分 类 号：R68[医药卫生—骨科学]