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Published in:

01-04-2013 | Original Paper

Minimally invasive and open surgical treatment of proximal tibia fractures using a polyaxial locking plate system: a prospective multi-centre study

Authors: Jens A. Jöckel, Johannes Erhardt, Miscia Vincenti, Jörg Reissig, Reinhard Hoffmann, Baher Husain, Gert Täger, Axel Partenheimer, Helmut Lill, Florian Gebhard, Götz Röderer

Published in: International Orthopaedics | Issue 4/2013

Abstract

Purpose

The purpose of this study was to determine whether a polyaxial locking plate of the latest generation (NCB PT®, Zimmer Inc.) which can be applied both open and minimally invasively, can be used as a routine method of treatment for proximal tibia fractures.

Methods

Eighty-six patients (35 women, 51 men; mean age 51 years) were enrolled in this prospective multicentre trial. Ninety-six percent of the fractures were intra-articular (AO type B and C); 36 % were treated open and 64 % minimally invasively. Follow-up was obtained three, six and 12 months after surgery.

Results

No implant failure occurred. At 12 months, the functional result using a knee-specific score was good to excellent in 95 %, and 99 % of the fractures were radiologically healed.

Conclusion

The system is a versatile implant for proximal tibia fracture treatment. Polyaxiality and a specific locking mechanism are compatible with different fracture patterns. The minimally invasive technique effectively protects soft tissues but should not be performed at the expense of fracture reduction. Early functional results and complication rate are comparable to those in the literature.

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Title: Minimally invasive and open surgical treatment of proximal tibia fractures using a polyaxial locking plate system: a prospective multi-centre study
Authors: Jens A. Jöckel
Johannes Erhardt
Miscia Vincenti
Jörg Reissig
Reinhard Hoffmann
Baher Husain
Gert Täger
Axel Partenheimer
Helmut Lill
Florian Gebhard
Götz Röderer
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 4/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-1820-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Minimally invasive and open surgical treatment of proximal tibia fractures using a polyaxial locking plate system: a prospective multi-centre study

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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