Joint depression in tibial plateau fractures: To bone graft or not to bone graft?

Tibial plateau fractures with significant joint depression and metaphyseal comminution pose a challenge. In order to prevent the collapse of the articular surface, some authors propose filling the subchondral void created during reduction with bone graft/substitute, which can add further complicatio...

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Bibliographic Details
Published inInjury Vol. 54; no. 6; pp. 1412 - 1415
Main Authors Hartwich, Magdalena, Lans, Jonathan, Jupiter, Jesse B., Babst, Reto, Regazzoni, Petro, Dell'Oca, Alberto Fernandez
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.06.2023
Subjects
Bone graft/substitute
ICUC
Rafting construct
Rafting screws
Tibial plateau fractures
Tibial plateau fractures
ICUC
Rafting screws
Bone graft/substitute
Rafting construct
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Summary:Tibial plateau fractures with significant joint depression and metaphyseal comminution pose a challenge. In order to prevent the collapse of the articular surface, some authors propose filling the subchondral void created during reduction with bone graft/substitute, which can add further complications. We present two cases of tibial plateau fractures with severe joint depression of the lateral condyle; both treated with a periarticular rafting construct, in one caseadditional bone substitute was used and in the other case no bone graft/substitute was used; their final outcomes were reported. The treatment of joint depression in tibial plateau fractures using periarticular rafting constructs without bone graft, may be also a valid option, to achieve good final results without the morbidity associated with the use of bone graft/substitutes.
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ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2023.02.050