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Weight-bearing-induced displacement and migration over time of fracture fragments following split depression fractures of the lateral tibial plateau: A case series with radiostereometric analysis

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dc.contributor.authorSolomon, L.
dc.contributor.authorCallary, S.
dc.contributor.authorStevenson, A.
dc.contributor.authorMc Gee, M.
dc.contributor.authorChehade, M.
dc.contributor.authorHowie, D.
dc.date.issued2011
dc.description.abstractWe investigated the stability of seven Schatzker type II fractures of the lateral tibial plateau treated by subchondral screws and a buttress plate followed by immediate partial weight-bearing. In order to assess the stability of the fracture, weight-bearing inducible displacements of the fracture fragments and their migration over a one-year period were measured by differentially loaded radiostereometric analysis and standard radiostereometric analysis, respectively. The mean inducible craniocaudal fracture fragment displacements measured -0.30 mm (-0.73 to 0.02) at two weeks and 0.00 mm (-0.12 to 0.15) at 52 weeks. All inducible displacements were elastic in nature under all loads at each examination during follow-up. At one year, the mean craniocaudal migration of the fracture fragments was -0.34 mm (-1.64 to 1.51). Using radiostereometric methods, this case series has shown that in the Schatzker type II fractures investigated, internal fixation with subchondral screws and a buttress plate provided adequate stability to allow immediate post-operative partial weight-bearing, without harmful consequences.
dc.description.statementofresponsibilityL. B. Solomon, S. A. Callary, A. W. Stevenson, M. A. McGee, M. J. Chehade, D. W. Howie
dc.identifier.citationJournal of Bone and Joint Surgery: British Volume, 2011; 93B(6):817-823
dc.identifier.doi10.1302/0301-620X.93B6.26122
dc.identifier.issn0301-620X
dc.identifier.issn2044-5377
dc.identifier.orcidSolomon, L. [0000-0001-6254-2372]
dc.identifier.orcidCallary, S. [0000-0002-2892-5238]
dc.identifier.orcidMc Gee, M. [0000-0002-0816-518X]
dc.identifier.orcidChehade, M. [0000-0001-6931-2393]
dc.identifier.orcidHowie, D. [0000-0003-1702-3279]
dc.identifier.urihttp://hdl.handle.net/2440/65661
dc.language.isoen
dc.publisherBritish Editorial Soc Bone Joint Surgery
dc.rightsCopyright © 2011 by British Editorial Society of Bone and Joint Surgery
dc.source.urihttps://doi.org/10.1302/0301-620x.93b6.26122
dc.subjectHumans
dc.subjectTibial Fractures
dc.subjectTomography, X-Ray Computed
dc.subjectTreatment Outcome
dc.subjectFracture Fixation, Internal
dc.subjectBone Plates
dc.subjectBone Screws
dc.subjectWeight-Bearing
dc.subjectRotation
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.titleWeight-bearing-induced displacement and migration over time of fracture fragments following split depression fractures of the lateral tibial plateau: A case series with radiostereometric analysis
dc.typeJournal article
pubs.publication-statusPublished

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