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العنوان
Augmentation by Rafting Screw on Fixation of The Lateral Tibial Plateau Fractures /
المؤلف
Hegazy, Osama El Sayed Ali.
هيئة الاعداد
باحث / أسامة السيد حجازى
مشرف / نبيل عمر غاربو
مناقش / اشرف عاطف محمود
مناقش / محمد عبد الحميد رميح
الموضوع
Orthopedic Surgery.
تاريخ النشر
2019.
عدد الصفحات
p 119. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
19/2/2020
مكان الإجازة
جامعة طنطا - كلية الطب - Orthopedic Surgery
الفهرس
Only 14 pages are availabe for public view

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from 162

Abstract

Tibial plateau fractures represent 1 % of all body fractures and 5–8 % of lower limb fractures. In youngers, high-energy trauma such as road traffic accidents (RTA) are the most common cause of injury while in elder patients, low-energy trauma is common cause of injury as in osteoporotic fracture.In osteoporotic elderly patients, this fracture represents as much as 10 % of all fractures. There are many fracture classifications which describe tibial plateau fractures, the most widely used is the Schatzker classification. Lateral plateau fractures are more frequent than medial. Schatzker type II and III fractures are the most common tibial plateau injuries resulting from axial loading and bending forces.Articular surface depression is widely seen in older patients because of osteoporosis.In adults, non-surgical treatment has a little or no role in treatment of tibial plateau fractures due to high incidence of malunion, nonunion, post-traumatic arthritis and complications of prolonged recumbency in bed.Schatzker type II & III tibial plateau fractures have been traditionally treated with open reduction, elevation of articular surface, cancellous auto-graft or allo-graft and rigid internal fixation.In this study we used periarticular subchondral screws without graft for lateral split depression and lateral depression tibial plateau fractures as surgical technique to treat forty-three patients grouped to 28 females and 15 male with an average age of 49.5